Tag Archives: Pandemic

Chile announces fresh lockdowns

By Aislinn Laing and Fabian Cambero

SANTIAGO (Reuters) – Chile’s health authorities on Monday announced a fresh lockdown in the capital Santiago after coronavirus cases spiked 18% in the past week.

Health Minister Enrique Paris said the measure, which will involve a full lockdown on weekends and restricted activities during the week, was designed to avoid a full quarantine.

The coronavirus first hit Chile, population 19 million, in March, and the country reached a peak in June, with more than 5,000 cases daily and ranking only behind Qatar globally for cases per capita.

In August, authorities began lifting the lid on lockdowns covering the capital suburb by suburb, using a step-by-step rule, while the focus of cases bounced from the mine-heavy north of the country to the south, where hospitals continue to be saturated.

However, a steady uptick in cases that culminated in this week’s 18% rise has prompted a change in strategy.

Paris said the return to partial lockdown was a “preventative step” to avoid a return to the previous full and lengthy lockdowns that caused significant economic hardship.

“Given the number of inhabitants of the Metropolitan Region, that (18%) figure is shocking and worries us a lot,” he said.

The announcement is complicated, however – and Paris faced tough questions at his regular news conference – because a picture emerged over the weekend of Chile’s President Sebastian Pinera posing for a selfie with a bystander without wearing a mask.

Pinera has apologized, and a government spokesman explained he had been walking alone along the beach in the upmarket central Chilean resort of Cachagua where he has a house, but was surprised by a bystander.

Chile has strict rules that require the wearing of masks in all public places including outside, and violations are punishable with sanctions that include significant fines and even jail terms.

Spokesman Jaime Bellolio said the president would report himself to the health authorities.

Gaffe-prone Pinera has previously been pictured eating pizza on the night fierce social protests broke out in Santiago in October last year, and posing for pictures at the square that was the hub of the demonstrations after the pandemic forced its clearance.

(Reporting by Aislinn Laing; editing by Jonathan Oatis)

Pandemic’s uneven march across U.S. paved way for wider outbreak

By Howard Schneider

WASHINGTON (Reuters) – Nine months after the U.S. government declared a state of emergency to fight the coronavirus pandemic, daily deaths and new infections are breaking records, hospital capacity is more stretched than ever, and debate over the economic response has devolved into a battle over who deserves help and who doesn’t.

How did it get to this point? Once-in-a-century public crises might seem a natural rallying point for a nation, but the current pandemic hit a trifecta: a politically polarized society, the uneven spread of the virus, and an economic impact that was disparately felt and quick to fade in some parts of the country even as it kept others fast in its grip.

Today’s rampant spread of the virus is bound with those facts: Local and state decisions to let the economy reopen as much as it did, as soon as it did, with public health rules spotty and unevenly enforced, set the stage for it to rotate through the country and eventually to spread unchecked.

While that spurred more job creation early on, the country is now facing the worst of both worlds.

New COVID-19 cases are mounting at a rate of a million a week, and deaths have reached new peaks approaching 3,000 daily. Meanwhile, the economic recovery seems to be hitting stall speed. U.S. payrolls grew by only 245,000 jobs in November, scant progress given that net job losses since February still total around 10 million.

New data released in early December on state and metro level employment and wages by industry show just how unevenly the economic pain of those first months was spread.

Indeed, while workers in New York City, one of the early epicenters of the U.S. outbreak, struggled with economic conditions reminiscent of the Great Depression last spring, workers in Montana, on the whole, earned about as much in the three months from April to June as they did in the prior three months.

For workers in six western states, in fact, the second quarter of 2020 looked about the same as the second quarter of 2019 in terms of total wages collected, while in Nevada, Hawaii and Michigan wages were down more than 10% from a year earlier.

The jobs crash was painful everywhere, particularly in the industries where people would be most vulnerable to a communicable disease – the close-contact services like restaurants, grooming parlors and gyms.

Even in places where the initial crash was less intense, more than 8% of jobs were lost from February to April. At its worst, in the U.S. Northeast and Hawaii, more than 20% of jobs disappeared.

But the places that suffered the lightest initial blow also more quickly regained lost employment, and in some instances by June had nearly regained all the lost jobs in April’s wave of layoffs and closing. At that point the spread of the pandemic was also mild in those states, perhaps providing a reason to maintain a business-as-usual approach.

In urban areas the difference in outcomes was even more pronounced. Seasonal factors influence the numbers of jobs in some cities more than others. Beach towns and summer resorts see a bump when the weather warms. But comparing the number of jobs this June to a year ago shows how some fared better – or worse.

Atlantic City, New Jersey, an oceanside resort and casino hub, had only 66% of the jobs this past June that it did the year before. Cleveland, Tennessee, part of the U.S. South’s emerging auto industry, by contrast, had more jobs in June than it did a year before.

Industries also felt those first months of the pandemic very differently. At first blush, hiring in some seasonal industries proceeded apace, with drive-in theaters, for example, staffing up for the summer: Employment there more than doubled from February to June, possibly a sign of entertainment migrating outdoors. Still, even such an industry well-suited to the moment saw its employment drop compared with a year earlier.

By contrast, nursery and garden center employment rocketed nearly 30% from February to June – a typical summertime jump. Nonetheless, it was also 1.7% above the level from June 2019.

At the other end of the scale, industries in the food and entertainment sectors saw job losses that may amount to a permanent shift in the economy and where people work.

(Reporting by Howard Schneider; Editing by Dan Burns and Paul Simao)

California bans private gatherings, New York expands hospitals to battle coronavirus surge

By Dan Whitcomb and Maria Caspani

LOS ANGELES/NEW YORK (Reuters) -California compelled much of the state to close shop and stay home on Monday and New York ordered hospitals to increase bed capacity by 25 percent, as the United States braced for yet another coronavirus surge during the upcoming holidays.

California Governor Gavin Newsom’s order came into effect one day after the state set a record with more than 30,000 new COVID-19 cases, triggered in areas of Southern California where fewer than 15% of intensive care hospital beds remain available.

In addition, five counties in Northern California surrounding the San Francisco Bay Area have voluntarily imposed the restrictions even before reaching the intensive care unit threshold. Combined, the areas cover about three-quarters of the state’s nearly 40 million people.

Dr. Celine Gounder said California had little choice. “Given how out of control the virus is at this point, we are having to dial up some of those restrictions again,” Gounder told CBS News. “Ideally, we should be more proactive than this.”

In reporting more than 30,000 new cases on Sunday, the state exceeded its previous high of 21,986 set on Dec. 4, and notched a record high for hospitalized COVID-19 patients as well.

Nationwide, COVID-19 infections in United States are at their peak with an average of 193,863 new cases reported each day over the past week, according to a Reuters tally of official data.

There have been 14.7 million confirmed infections and 282,253 coronavirus-related deaths reported in the country since the pandemic began, the most in the world.

California has been under a stay-at-home order for all but essential services since March. The new order, which will last at least three weeks, bans private gatherings of any size, shuts all but critical infrastructure and retail operations, and requires everyone to wear a mask and maintain physical distancing.

But the sheriffs of Los Angeles, Orange and Riverside counties have said they will refuse to enforce the order.

Riverside County Sheriff Chad Bianco said in a videotaped message that his office “will not be blackmailed” into enforcing the governor’s orders, and Orange County Sheriff Don Barnes said in a statement his deputies would not respond to calls to enforce violations of the mask mandate, stay-at-home orders or the ban on social gatherings.

FAUCI SEES ‘BAD TIME’ AHEAD

To avoid a critical shortage of hospital beds, New York state health officials will order hospitals to increase their capacity by 25% and ask retired doctors and nurses to come back to work, Governor Andrew Cuomo said on Monday.

If the hospitalization rate fails to stabilize over the next five days, indoor dining in New York City will be halted, Cuomo said.

Dr. Anthony Fauci warned the nationwide surge could get worse after the year-end holiday season.

After millions ignored expert advice and traveled for the Thanksgiving holiday in November, Fauci anticipated Americans would once again behave recklessly during Christmas and New Year’s Eve festivities.

Spikes in the death toll typically appear about three weeks after surges in infections and hospitalizations.

“Mid-January is probably going to be a bad time,” said Fauci, appearing with Cuomo in his video news conference.

Anticipating U.S. Food and Drug Administration emergency authorization of the first vaccine within the coming days, the White House will host a vaccine distribution summit on Tuesday with governors, retail pharmacy chains and shipping companies, Health Secretary Alex Azar told Fox News.

The aim of the meeting was “to be very transparent and show the world how comprehensively we have planned out every aspect of this distribution,” Azar said.

(Reporting by Dan Whitcomb, Maria Caspani, Doina Chiacu, Lisa Lambert, Peter Szekely and Daniel Trotta; Writing by Daniel Trotta; Editing by Chizu Nomiyama, Jonathan Oatis and Bill Berkrot)

WHO warns against pandemic complacency amid vaccine rollout

GENEVA (Reuters) – Recent progress on COVID-19 vaccines is positive but the World Health Organization is concerned this has led to a growing perception that the pandemic has come to an end, WHO Director-General Tedros Adhanom Ghebreyesus said on Friday.

Britain approved Pfizer Inc’s COVID-19 vaccine on Wednesday, raising hopes that the tide could soon turn against a virus that has killed nearly 1.5 million people globally, hammered the world economy and upended normal life for billions.

“Progress on vaccines gives us all a lift and we can now start to see the light at the end of the tunnel. However, WHO is concerned that there is a growing perception that the COVID-19 pandemic is over,” he said.

Tedros said the pandemic still had a long way to run and that decisions made by citizens and governments would determine its course in the short run and when the pandemic would ultimately end.

“We know it’s been a hard year and people are tired, but in hospitals that are running at or over capacity it’s the hardest it can possibly be,” he said.

“The truth is that at present, many places are witnessing very high transmission of the COVID-19 virus, which is putting enormous pressure on hospitals, intensive care units and health workers.”

The virus emerged in Wuhan, China, a year ago since when more than 65 million people have been reported to be infected by the novel coronavirus globally and 1.5 million have died.

Two promising vaccines could soon receive emergency use authorization from the U.S. Food and Drug Administration, and some 20 million Americans could be vaccinated this year, helping stem the tide of the virus in the world’s worst hit country.

However, the WHO’s top emergency expert Mike Ryan also cautioned on Friday against complacency in the wake of vaccine roll-out, saying that although they were a major part of the battle against COVID-19, vaccines would not on their own end the pandemic.

“Vaccines do not equal zero COVID,” he said.

Ryan said some countries would have to sustain very strong control measures for some time into the future or they would risk a “blow up” in cases, and a yo-yoing of the pandemic.

“We are in a pivotal moment in some countries. There are health systems in some countries at the point of collapse,” he said, without referring to specific countries.

(Reporting by Stephanie Nebehay in Geneva and Michael Shields in Zurich; Writing by Toby Chopra; Editing by Jon Boyle, Catherine Evans and Raissa Kasolowsky)

U.S. job growth slows sharply; long-term unemployment rises

By Lucia Mutikani

WASHINGTON (Reuters) – The U.S. economy added the fewest workers in six months in November, hindered by a resurgence in new COVID-19 cases that, together with a lack of more government relief money, threatens to reverse the recovery from the pandemic recession.

The closely watched employment report also showed a surge in people experiencing long periods of joblessness, putting pressure on Congress to come up with another rescue package.

The report only covered the first two weeks of November, when the current wave of coronavirus infections started. Infections, hospitalizations and death rates have sky-rocketed, leading some economists to anticipate a drop in employment in December or January as more jurisdictions impose restrictions on businesses and consumers shun crowded places like restaurants.

“This is a disappointing report, and one that shows the third wave of the pandemic is having a bigger effect on hiring than had been thought,” said Brad McMillan, chief investment officer for Commonwealth Financial Network. “Prospects for a continued strong recovery in consumer spending may be at risk. This is a wake-up call for the Congress and should support more Federal stimulus.”

Nonfarm payrolls increased by 245,000 jobs last month after rising by 610,000 in October, the Labor Department said on Friday. That was the smallest gain since the jobs recovery started in May. The fifth straight monthly slowdown in job gains left employment 9.8 million below its February peak.

Job growth last month was held back by further departures of temporary workers hired for the 2020 Census. States and local governments are also expected to have shed more workers, leaving overall government payrolls to drop by 99,000 jobs, the second straight monthly decline. The private sector added 344,000 jobs.

Economists polled by Reuters had forecast payrolls would increase by 469,000 jobs in November. Hiring peaked at 4.781 million jobs in June. Reports on consumer spending, manufacturing and services industries have suggested a slowdown in the recovery from the worst recession since the Great Depression.

The United States is in the midst of a fresh wave of COVID-19 infections. Nearly 200,000 new cases were reported on Wednesday and hospitalizations approached a record 100,000 patients, according to a Reuters tally of official data.

A bipartisan, $908 billion coronavirus aid plan gained momentum in Congress on Thursday as conservative lawmakers expressed their support and leaders in the U.S. Senate and House of Representatives huddled together.

More than $3 trillion in government COVID-19 relief helped millions of unemployed Americans cover daily expenses and companies keep workers on payrolls, leading to record economic growth in the third quarter. The uncontrolled pandemic and lack of additional fiscal stimulus could result in the economy contracting in the first quarter of 2021.

U.S. stock index futures sharply pared gains on the jobs report. The dollar was trading lower against a basket of currencies. U.S. Treasury prices were lower.

LONG-TERM UNEMPLOYED

The unemployment rate fell to 6.7% from 6.9% in October. It, however, has been biased down by people misclassifying themselves as being “employed but absent from work.” Without this error, the government estimated the jobless rate would have been about 7.1% in November.

The number of people unemployed for 27 weeks or more jumped 385,000 in November to 3.9 million. These long-term unemployed accounted for 36.9% of the 10.7 million unemployed last month. The number of people working part-time for economic reasons was steady at 6.7 million.

Despite the ample slack in the labor market, average hourly earnings rose 0.3% after nudging up 0.1% in October. That left the year-on-year increase in wages at 4.4%. The average workweek was steady at 34.8 hours.

(Reporting by Lucia Mutikani; Editing by Chizu Nomiyama and Paul Simao)

Coronavirus claims 1.5 million lives globally with 10,000 dying each day

By Shaina Ahluwalia and Sangameswaran S

(Reuters) – Over 1.5 million people have lost their lives due to COVID-19 with one death reported every nine seconds on a weekly average, as vaccinations are set to begin in December in a handful of developed nations.

Half a million deaths occurred in just the last two months, indicating that the severity of the pandemic is far from over. Nearly 65 million people globally have been infected by the disease and the worst affected country, United States, is currently battling a third wave of coronavirus infections.

In the last week alone, more than 10,000 people in the world died on average every single day, which has been steadily rising each passing week. Many countries across the world are now fighting second and third waves even greater than the first, forcing new restrictions on everyday life.

The novel coronavirus caused more deaths in the past year than tuberculosis in 2019 and nearly four times the number of deaths due to malaria, according to the World Health Organization.

Robert Redfield, the head of the U.S. Centers for Disease Control and Prevention, warned on Wednesday that the pandemic will pose the country’s grimmest health crisis yet over the next few months, before vaccines become widely available.

“I actually believe they’re going to be the most difficult time in the public health history of this nation,” Redfield told a livestream presentation hosted by the U.S. Chamber of Commerce Foundation.

The United States continues to lead in terms of fatalities, with over 273,000 deaths alone. North America and Latin American regions combined have more than 50% of all coronavirus deaths that have been reported.

The Latin American region, the worst-affected globally in terms of fatalities, recently surpassed over 450,000 deaths.

VACCINE HOPES

On Wednesday, Britain became the first country to approve the vaccine candidate developed by Germany’s BioNTech and Pfizer Inc, jumping ahead of the rest of the world in the race to begin a crucial mass inoculation program.

However, supplies are expected to be very limited in the early stages which means that every country beginning the drive will have to prioritize based on risk factors.

U.S. health regulators are expected to approve distribution and administration of the vaccine in mid-December.

Africa aims to have 60% of its population vaccinated against COVID-19 within the next two to three years, the African Union’s disease control group said on Thursday. The continent of 1.3 billion people has recorded more than 2.2 million confirmed coronavirus infections, according to a Reuters tally.

(Reporting by Shaina Ahluwalia and Sangameswaran S in Bengaluru; Editing by Lisa Shumaker)

How COVID upended life as we knew it in a matter of weeks

By Alexandra Hudson

(Reuters) – On Jan. 1, 2020, as the world welcomed a new decade, Chinese authorities in Wuhan shut down a seafood market in the central city of 11 million, suspecting that an outbreak of a new “viral pneumonia” affecting 27 people might be linked to the site.

Early lab tests in China pointed to a new coronavirus. By Jan. 20 it had spread to three countries.

For most people, it was a minor health scare unfolding half a world away.

Nearly a year later it has changed lives fundamentally. Almost everyone has been affected, be it through illness, losing loved ones or jobs, being confined at home and having to get used to a whole new way of working, relaxing and interacting.

Almost 1.5 million people have died globally from the COVID-19 disease related to the coronavirus, and some 63 million people have been infected.

After the initial “wave” of the pandemic was brought under some semblance of control in many countries, nations are now fighting second and third waves even greater than the first, forcing new restrictions on everyday life.

Among the most haunting images to emerge from the pandemic in 2020 are those of medics on the frontlines of the battle against the virus.

In Milan’s San Raffaele hospital, seven intensive care unit staff attended to an 18-year-old patient suffering from COVID-19, pushing the bed into the ward and holding medical equipment and monitors.

Doctors and nurses like them swathed in protective gear – gowns, gloves, masks, and visors, some with their names or initials written on their uniforms – have become a familiar sight.

So, too, have images of medics collapsing from exhaustion or grief at losing one of their own to the disease.

By March and April many countries began to impose lockdowns and social distancing to slow the spread of the highly contagious virus.

Structures to separate and protect people sprang up – from transparent screens at supermarket checkouts to the plastic sheet which allowed 83-year-old Lily Hendrickx, a resident at a Belgian nursing home, to hug Marie-Christine Desoer, the home’s director.

The effects on the natural world of the shutdown were sometimes astonishing. Birdsong could be heard like never before in towns and wild animals ventured into newly empty cities.

At the usually crowded Golden Gate Bridge View Vista Point across from San Francisco, a coyote stood by the roadside.

Even the streets of Manhattan were eerily empty.

Ballet dancer Ashlee Montague donned a gas mask and danced in the middle of Times Square, New York.

In Brazil’s capital, Brasilia, Catholic priest Jonathan Costa prayed alone at the Santuario Dom Bosco church, among photographs of the faithful, attached to the pews.

Wearing masks to combat the spread of the virus became commonplace the world over.

At Tokyo’s Shinagawa train station, crowds of commuters wore face masks, as did prisoners crowded into a cell in El Salvador’s Quezaltepeque jail.

In private homes, families learned to live together 24 hours a day and how to entertain and teach their children.

The pandemic hit some of the world’s poorest people the hardest – exposing the inequalities in access to medical treatment and in government funds to compensate people who lost their livelihoods.

In South Africa in May, at the Itireleng informal settlement near Laudium suburb in Pretoria, people waited in a queue that stretched as far as the eye could see to receive food aid.

As 2020 heads to its close, vaccines are on the horizon. There is hope that some aspects of life as we knew it will return.

(Writing by Alexandra Hudson; Editing by Mike Collett-White)

U.S. pandemic death toll mounts as danger season approaches

By Susan Heavey

WASHINGTON (Reuters) – U.S. deaths from the coronavirus pandemic have surged past 2,000 for two days in a row as the most dangerous season of the year approached, taxing an overwhelmed healthcare system with U.S. political leadership in disarray.

The toll from COVID-19 reached its second-highest level ever on Wednesday with 2,811 lives lost, according to a Reuters tally of official data, one short of the record from April 15.

Nearly 200,000 new U.S. cases were reported on Wednesday, with record hospitalizations approaching 100,000 patients.

The sobering data came as the head of the U.S. Centers for Disease Control and Prevention on Wednesday warned that December, January and February were likely to be “the most difficult time in the public health history of this nation.”

CDC Director Dr. Robert Redfield told an event hosted by the U.S. Chamber of Commerce that the United States could start losing around 3,000 people – roughly the number that died in the attacks of Sept. 11, 2001 – each day over the next two months.

“The mortality concerns are real and I do think unfortunately before we see February, we could be close to 450,000 Americans that have died from this virus,” Redfield said. The U.S. death toll since the start of the pandemic stands at around 273,000.

Hospitals are filling up with COVID-19 patients, reducing care for people needing treatment for other ailments. Redfield said 90% of U.S. hospitals were in areas designated as coronavirus “hot zones.”

Rural and suburban hospitals were particularly affected, threatening their economic viability, Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security, told MSNBC on Thursday.

“There’s no end in sight because there’s so much community spread,” Adalja said, warning that the pandemic could force hospital closures.

Still, rapid vaccine development, aided by the Trump administration’s “Operation Warp Speed” program, offered a ray of hope.

Britain on Wednesday gave emergency approval to Pfizer Inc’s COVID-19 vaccine, a sign that U.S. regulators may soon follow suit and allow inoculations within weeks.

(Reporting by Susan Heavey and Daniel Trotta; Writing by Daniel Trotta; Editing by Bernadette Baum)

Fed sees little to no growth in much of U.S. as stress mounts

By Howard Schneider and Ann Saphir

WASHINGTON (Reuters) – Federal Reserve officials saw “little or no growth” in four of their 12 regional districts and only modest growth in the others in recent weeks as a rapidly spreading health crisis and ongoing recession continued to devastate some U.S. businesses and families even as many others thrive.

In the U.S. central bank’s latest “Beige Book” compendium of anecdotes from businesses across the country, Fed officials seemed to signal that the winter slowdown they’ve feared would follow a new coronavirus outbreak is taking root.

Earlier on Wednesday, Fed Chair Jerome Powell repeated his plea for Congress to provide more aid to “get us through the winter” and support businesses and households until a vaccine allows for a broader resumption of commerce. Initial inoculations may begin in the United States this month.

Meanwhile, the pandemic is spreading at a rate of a million new cases a week and around 1,500 deaths a day.

In some places that has led officials to impose new restrictions on businesses and social gatherings. In others, households have pulled back on their own.

But overall it has left little capacity to fix problems that have plagued the economy since the onset of the pandemic last spring, with women sidelined from the workforce due to childcare concerns, leisure and hospitality firms semi-shuttered, and banks concerned their loans books may come under stress soon.

“This is one of the most troubling Beige Books we have seen in a long time,” Jefferies LLC economist Thomas Simon said.

The possibility of growing loan bank stress added a newly worrisome note: The comparative lack of loan defaults so far has prevented the recession from spawning a separate financial crisis.

But “banking contacts in numerous Districts reported some deterioration of loan portfolios, particularly for commercial lending into the retail and leisure and hospitality sectors,” Fed officials reported. “An increase in delinquencies in 2021 is more widely anticipated.”

Commercial real estate – especially in the office and retail sectors – was a weak spot across most districts. The Boston Fed reported that contacts there “estimated daytime office occupancy rates at around 20 percent – bad news for the shops and restaurants that relied on office workers’ business.”

The regional bank also said office tenants nearing the end of leases were renewing only for the short term and that some respondents noted an increase in available subleased space, signaling more trouble ahead in the sector.

Similarly, firms had become tentative about hiring because of the uncertain path of the pandemic.

LABOR MARKET WORRIES

Nearly all districts reported that employment was growing more slowly and that the recovery “remained incomplete.”

Businesses said it was harder to retain workers, especially women, because of challenges finding child care and dealing with school closures caused by the virus. Firms in several districts said they feared “employment levels would fall over the winter” before improving.

In Boston, “a supplier to commercial aviation announced major layoffs over the summer and has not had any reason to revise those plans either up or down,” local Fed officials noted.

Still the latest collection of Fed field reports, compiled on or before Nov. 20, included stories of other firms where managers struggled to find workers to help meet a boom in goods sales.

That divide, among regions and sectors that are doing well and those that are not, has become a hallmark of the current recession and presents the Fed with a difficult decision as it debates whether to provide more support for the economy at its Dec. 15-16 policy meeting.

The economy continues to recover from the deep blow it suffered at the start of the pandemic, and the prospect of a coming COVID-19 vaccine means the recovery could gain steam next year.

In the meantime, the country is 10 million jobs short of where it was in February. Job numbers for November will be released on Friday and are expected to show the pace of improvement is slowing, with some analysts now predicting an outright job loss.

(Reporting by Howard Schneider; Editing by Chizu Nomiyama and Paul Simao)

U.S. plans for first COVID vaccines as pandemic deaths surge again

By Julie Steenhuysen and Doina Chiacu

WASHINGTON (Reuters) – Top U.S. health officials announced plans on Tuesday to begin vaccinating Americans against the coronavirus as early as mid-December, as nationwide deaths hit the highest number for a single day in six months.

Some 20 million people could be inoculated against COVID-19 by the end of 2020 and most Americans will have access to highly effective vaccines by mid-2021, the chief adviser of President Donald Trump’s Operation Warp Speed program said.

“Within 24 hours, maybe at most 36 to 48 hours, from the approval, the vaccine can be in people’s arms,” Moncef Slaoui, a former GlaxoSmithKline executive who is overseeing the vaccine portion of the U.S. program, said at an event conducted by The Washington Post newspaper.

His comments came on the same day that another 2,295 fatalities nationwide were linked to COVID-19, even before California, the most populous U.S. state, reported full results. Officials in several states said numbers were higher in part due to a backlog from the Thanksgiving holiday.

A statement from the public health director for Los Angeles County highlighted the ravages of the surging pandemic. Barbara Ferrer, the public health director, said that while Tuesday was the county’s “worst day thus far” of the pandemic, “…it will likely not remain the worst day of the pandemic in Los Angeles County. That will be tomorrow, and the next day and the next as cases, hospitalizations and deaths increase.”

Health officials pleaded with Americans to stick with coronavirus restrictions even with a vaccine in sight.

The U.S. Centers for Disease Control and Prevention is moving to shorten the length of self-quarantine recommended after potential exposure to the coronavirus to 10 days, or seven days with a negative test, a federal spokesperson said on Tuesday. The CDC currently recommends a 14-day quarantine in order to curb the transmission of the virus.

TIMELINE ON A VACCINE

Some 60 million to 70 million doses of COVID-19 vaccine could be available per month beginning in January, after the expected regulatory approval of products from Pfizer Inc and Moderna Inc, Slaoui said.

A Food and Drug Administration panel of outside advisers will meet on Dec. 10 to discuss whether to recommend emergency use authorization of the Pfizer vaccine, developed with German partner BioNTech SE. Moderna’s vaccine candidate is expected to be reviewed a week later.

The timeline described by Slaoui and Health and Human Services Secretary Alex Azar appeared to assume that the FDA’s authorization of the first vaccine would come within days of the Dec. 10 meeting.

But the head of the FDA’s Center for Biologics Evaluation and Research, Dr. Peter Marks, told patient advocacy groups last week that it might take “a few days to a few weeks.”

FDA Commissioner Stephen Hahn, likewise, has said the process could take longer.

The U.S. Transportation Department said on Tuesday it has made preparations to enable the “immediate mass shipment” of COVID-19 vaccines and completed all necessary regulatory measures.

An estimated 21 million healthcare workers and 3 million residents of long-term care facilities should be first in line to receive a vaccine, according to a recommendation voted on by a CDC panel of advisers on Tuesday.

Nursing homes are experiencing the worst outbreak of weekly coronavirus cases since the spring, according to the American Health Care Association and National Center for Assisted Living.

HOLIDAY TRAVEL SPIKE

State and local officials have returned to imposing restrictions on businesses and activities in response to the latest surge of a pandemic that killed 37,000 people in November.

A record nearly 96,000 COVID-19 patients were reported in U.S. hospitals on Tuesday, according to a Reuters tally.

Hospitalizations and deaths are expected to spike even higher during the holiday travel season, a trend that officials warn could overwhelm already strained healthcare systems.

The monthly death toll from COVID-19 is projected to nearly double in December to a pandemic-high of more than 70,000 and surpass 76,000 in January before ebbing in February, according to a widely cited model from the University of Washington’s Institute for Health Metrics and Evaluation.

Pandemic-related restrictions have ravaged the U.S. economy. A bipartisan group of U.S. lawmakers on Tuesday unveiled a $908 billion COVID-19 relief bill aimed at breaking a deadlock over emergency assistance for small businesses, industries and the unemployed.

(Reporting by Doina Chiacu and Julie Steenhuysen; Additional reporting by Lisa Shumaker, Maria Caspani, Peter Szekely, Jonathan Allen, David Shepardson, Steve Gorman and Dan Whitcomb; Writing by Daniel Trotta and Dan Whitcomb; Editing by Bill Berkrot, Bill Tarrant and Leslie Adler)