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Sections SEARCH Skip to contentSkip to site index Subscribe for $1/weekLog in Wednesday, March 23, 2022 Today’s Paper Log In THE CORONAVIRUS PANDEMIC * liveCovid-19 Updates * Coronavirus Map and Cases * Vaccine Tracker * Should You Get a 4th Shot? COVID NEWS: C.D.C. DROPS CONTACT TRACING RECOMMENDATION President Biden unveiled a plan aimed at ushering the United States into what some are calling a “new normal.” Covid has hit pregnant women especially hard in Latin America, the W.H.O. says. Published March 2, 2022Updated March 14, 2022 HERE’S WHAT YOU NEED TO KNOW: * The C.D.C. no longer recommends universal contact tracing. * All of Australia is now reopened to vaccinated travelers. * The White House unveils a new Covid strategy, but it will need congressional funding. * A Virginia senator reveals he has long Covid and unveils a bill devoted to the illness. * The W.H.O. says the pandemic has hit women in the Americas hard, especially pregnant women. * As some New York State public schools shed masks, elation mixes with trepidation. * The head of a popular brewery in Brooklyn resigns after his attacks on vaccine mandates drew criticism. THE C.D.C. NO LONGER RECOMMENDS UNIVERSAL CONTACT TRACING. Image A public health nurse with the Salt Lake County Health Department in Utah explained contact tracing in 2020.Credit...Rick Bowmer/Associated Press Almost two years after the director of the Centers for Disease Control and Prevention called for 100,000 contact tracers to contain the coronavirus, the C.D.C. said this week that it no longer recommends universal case investigation and contact tracing. Instead it encourages health departments to focus those practices on high-risk settings. The turning point comes as the national outlook continues to improve rapidly, with new cases, hospitalizations and deaths all continuing to fall even as the path out of the pandemic remains complicated. It also reflects the reality that contact-tracing programs in about half of U.S. states have been eliminated. Britain ended contact tracing last week, while Denmark and Finland are among other nations that have scaled back the use of contact tracers. New York City announced on Tuesday that it was ending its main contact-tracing program in late April and moving toward treating the coronavirus as another manageable virus. “This is a big change,” Crystal Watson, a senior scholar at the Johns Hopkins Center for Health Security, said in an interview on Tuesday. “It does reflect what’s already happening in states and localities, particularly with Omicron. There was no way contact tracing could keep up with that. Many of the cases are not being reported, so there’s no way of knowing the incidence.” The original goal of contact tracing in the United States was to reach people who have spent more than 15 minutes within six feet of an infected person and ask them to quarantine at home voluntarily for two weeks even if they test negative. The aim was to reduce transmission while Americans who tested positive monitored themselves for symptoms during their isolation. Case investigation is used to identify and understand cases, clusters and outbreaks that require health department intervention. But from the start of the pandemic, states and cities struggled to detect the prevalence of the virus because of spotty and sometimes rationed diagnostic testing and long delays in getting results. Now the C.D.C. is pushing health departments to focus solely on high-risk settings, like long-term care facilities, jails and prisons, and shelters. Many immunocompromised Americans, though, feel left behind by the lifting of precautions and restrictions across the country. “The updated guidance is in response to changes in the nature of the pandemic and the increasing availability of new tools to prevent transmission and mitigate illness,” Kristen Nordlund, a spokeswoman for the C.D.C., said Tuesday. She said that the dominance of variants with very short incubation periods and rapid transmissibility combined with high levels of infection- or vaccine-induced immunity and the wide availability of vaccines for most age groups made the change possible. Dr. Watson, who was the lead author of a 2020 report recommending that the country have 100,000 contact tracers, said that she was worried that the new guidance might lead to a dismantling of the infrastructure that was put into place to support as many as 70,000 contact tracers, the peak number the country reached during the winter surge of 2020. “We anticipate that there will be a need for contact tracing,” she said, “so some of the investments made in rebuilding the public health work force should be used more broadly so we can call on them in the next emergency.” More than 20 states still have statewide contact-tracing programs, according to Hemi Tewarson, the executive director of the National Academy for State Health Policy. “I actually think that the federal government move is consistent with what states are doing,” she said in an interview on Tuesday. “They’re already concentrating contact tracing on high-risk settings.” Ms. Tewarson said that contact tracing could not keep up with the Omicron surge, and that it was no longer as effective a tool if people are testing at home and not reporting results. “As a longer term plan, this is going to be more sustainable,” she said. “We’re at a different stage of the pandemic.” — Adeel Hassan ALL OF AUSTRALIA IS NOW REOPENED TO VACCINATED TRAVELERS. Video Advertisement LIVE 00:00 0:53 Western Australia Reopens to Vaccinated Travelers By Reuters and The Associated Press 0:53Western Australia Reopens to Vaccinated Travelers Arrivals at Perth Airport reunited with their loved ones for the first time in two years after the state of Western Australia lifted the remaining pandemic-era border restrictions for vaccinated travelers.CreditCredit...Paul Kane/Getty Images After 697 days, the last of Australia’s strict pandemic-era border restrictions have been lifted as the state of Western Australia reopens itself to vaccinated travelers. Starting on Thursday, people arriving from other parts of Australia can enter Western Australia without quarantining if they have received three coronavirus vaccine doses and test negative for the virus upon arrival. Vaccinated international travelers need only have received two doses and a negative test result to enter without quarantining, while unvaccinated foreigners need an exemption to enter the country. On Thursday, arrivals at Perth Airport, in the state’s capital, were greeted with hugs and tears, many reuniting with family or loved ones for the first time in two years. State authorities expect about 5,000 domestic and international travelers to flood into the state in the first 24 hours of the reopening. “Tomorrow, we take a big step forward as our border controls come down,” the state’s premier, Mark McGowan, said at news conference on Wednesday. “Families can reunite without unduly risking the health of the state. It’s going to be good to see.” At the beginning of the pandemic, Australia slammed shut its borders, banning both international travel and movement between some states in an attempt to slow the spread of the coronavirus. Western Australia restricted travel in and out of the state in April 2020 for all but exceptional circumstances. As the months stretched on, the tough measures came under fire for separating Western Australians from loved ones. Criticism intensified at the end of last year when other states began to lift their domestic border restrictions and reopen to international students and some visa holders. Then on Feb. 21, Australia celebrated as it welcomed international travelers across the country — except in Western Australia. Mr. McGowan has defended the border closures, saying they have saved lives and allowed Western Australians to live the past two years largely without pandemic restrictions, avoiding the harsh lockdowns that states like Victoria, which includes Melbourne, went through. Western Australia, which has a population of 2.7 million, has only had 11 coronavirus-related deaths since the start of the pandemic, according to the state government. Western Australia had planned to start easing border restrictions in February, but the move was delayed as the Omicron variant spread along Australia’s east coast. Omicron entered the state despite the border closure, and cases are still increasing in Western Australia. — Yan Zhuang TRACKING THE CORONAVIRUS › United States › United StatesAvg. on Mar. 22 14-day change New cases 29,288 –26% New deaths 1,009 –30% World › WorldAvg. on Mar. 22 14-day change New cases 1,736,701 +8% New deaths 6,736 –6% U.S. HOT SPOTS › VACCINATIONS › GLOBAL HOT SPOTS › GLOBAL VACCINATIONS › * County lookup * Hospitals * County lookup * Hospitals * Global vaccinations ADVERTISEMENT Continue reading the main story PHILADELPHIA DROPS ITS MASK MANDATE. Image Philadelphia lifted its indoor mask mandate on Wednesday, effective immediately.Credit...Matt Rourke/Associated Press Philadelphia residents no longer need to wear masks in most indoor settings, starting immediately, the city’s health commissioner, Dr. Cheryl Bettigole, announced on Wednesday. With Philadelphia reporting an average of 295 new coronavirus cases per day, down from almost 4,000 during the Omicron peak, city authorities say it is safe to stop enforcing the mandate. The change in policy came as other U.S. cities and counties have rapidly relaxed their mask mandates, including Chicago, Washington, D.C., Los Angeles County, New York City and Boston. Last month, Philadelphia announced a new tiered Covid response system, which ties restrictions to specific benchmarks for new daily cases, hospitalizations, test positivity rates and the rate at which cases are rising. The metrics have improved enough that Philadelphia can move to the “all clear” level, where vaccines and masks are no longer required in most indoor spaces, the Health Department said. The mask mandate remains in place in health care settings and on public transit, and businesses and other institutions are allowed to require masks or proof of vaccination if they choose to do so. Masks will no longer be required in Philadelphia schools starting March 9, if the situation continues to improve. “Philadelphia is unique in that we are the poorest big city in the country, making us more vulnerable to Covid-19 than many other places,” Dr. Bettigole said. She added that Philadelphians had shown a commitment to each other during the pandemic, “perhaps best demonstrated by our willingness to wear masks for the past six months to help decrease transmission to those that remain at risk.” Almost 70 percent of Philadelphians are fully vaccinated, according to a New York Times database, but the number of people receiving their first doses has stalled, as they have nationally. Other places in the United States that announced changes to mask policies this week: * Children were allowed to shed their masks on Wednesday in public schools across New York State where there were no local mandates, after Gov. Kathy Hochul announced on Sunday that she was rolling back the statewide school mask mandate. Children in some child care centers can now also go maskless. * Maine’s state government said on Wednesday that it would lift its statewide mask requirement for schools on March 9, after which school districts will be responsible for setting mask policies. * Education officials in Chicago, one of the largest U.S. public school systems, say they might soon end the city’s mandate in schools. * Los Angeles County is poised to lift its indoor mask requirement for unvaccinated residents on March 4. — Ada Petriczko THE WHITE HOUSE UNVEILS A NEW COVID STRATEGY, BUT IT WILL NEED CONGRESSIONAL FUNDING. Video Advertisement LIVE 00:00 1:34 Biden Announces Covid ‘Test to Treat’ Initiative for Pharmacies By Reuters 1:34Biden Announces Covid ‘Test to Treat’ Initiative for Pharmacies In his State of the Union address, President Biden outlined a program that would allow Americans to be tested for the coronavirus at pharmacies and given free antiviral treatments on the spot if they test positive.CreditCredit...Sarahbeth Maney/The New York Times The White House unveiled its long-awaited new coronavirus response strategy on Wednesday, a 96-page plan aimed at turning the corner on the worst public health crisis in a century, while preparing for the next threat — in part by accelerating research into vaccines that could be deployed within 100 days of the arrival of a new variant. “We’ve reached a new moment in the fight with Covid-19,” Jeffrey D. Zients, President Biden’s coronavirus coordinator, said in releasing the plan. The plan, aimed at ushering the United States into what some are calling a “new normal,” has four main goals: protecting against and treating Covid-19; preparing for new variants; avoiding shutdowns and fighting the virus abroad. But there is a big hitch: Much of the plan requires funding from Congress. The administration recently told congressional officials it could need $30 billion to boost funding for the pandemic response. One outside adviser to the White House, Dr. Ezekiel Emanuel, said in an interview that the United States needs to spend on the order of $100 billion over the next year to be fully prepared, and billions more after that. “Congress has to think of this as an investment in biosecurity for the country,” said Dr. Emanuel, who led a team of experts in developing a far-reaching plan it shared with the White House. The strategy comes on the heels of the president’s State of the Union address Tuesday night and as U.S. new cases decline, though deaths remain high. Mr. Biden used the speech to spotlight a key component: a new a “test to treat” initiative that he said would enable Americans to get tested at a pharmacy and, if they are positive, “receive antiviral pills on the spot at no cost.” Many of the other initiatives — including the plan to quickly develop vaccines, which was announced in November — are not new. But taken together, they amount to a blueprint for the next phase of the response, though the White House insists the fight against Covid is far from over. “Make no mistake, President Biden will not accept just ‘living with Covid’ any more than we accept ‘living with’ cancer, Alzheimer’s, or AIDS,” the plan declares. The health secretary, Xavier Becerra, who has not joined regular Covid news briefings and has been criticized lately for keeping too low a profile, made a rare appearance on Wednesday with other top health officials. He highlighted the plan to boost research into long Covid, the long-term symptoms that some people experience after infection, pledging to open “new centers of excellence” to provide high quality care, but that will also require congressional buy-in. The idea behind the strategy is to get the nation out of crisis mode and to a place, Mr. Biden has said, where the virus will no longer disrupt everyday life. The plan included a pledge for the administration to work with Congress to “give schools and businesses guidance, tests and supplies to stay open, including tools to improve ventilation and air filtration.” In interviews, experts generally lauded the plan as a good step forward. But Jay A. Winsten, director of the Harvard Initiative on Media Strategies for Public Health, said even the 100-day timeline for vaccine development might not be fast enough for a highly transmissible variant like Omicron. The first Omicron sample was collected in South Africa on Nov. 8, he said; the United States reached the peak of the Omicron wave just 67 days later, on Jan. 14. Mr. Biden came into office more than a year ago with a 200-page plan to combat Covid, which was the most pressing challenge in his nascent presidency. But a lot has changed since then. More than 200 million Americans have been vaccinated. Two new waves — one fueled by the Delta variant, the other by Omicron — have driven up deaths to nearly 1 million. Covid treatments have been developed, including the Pfizer drug Paxlovid, which will be integral to the “test and treat” initiative. Although those pills have been relatively scarce since they were authorized late last year, Mr. Biden said in his speech Tuesday night that “Pfizer is working overtime to get us one million pills this month and more than double that next month.” Even as the White House asserts that things are getting better and new federal guidelines suggest 70 percent of Americans can stop wearing masks for now, large groups of people remain at risk. Children under 5 are not yet eligible for vaccinates. And an estimated seven million Americans have weak immune systems, illnesses or other disabilities that make them more vulnerable to severe Covid. The White House announced last week that it was taking several steps to make masks and tests more accessible to those groups. Asked about the status of federal air and rail travel mask mandates, Mr. Zients noted they were being evaluated while they were in place until March 18. — Sheryl Gay Stolberg ADVERTISEMENT Continue reading the main story A VIRGINIA SENATOR REVEALS HE HAS LONG COVID AND UNVEILS A BILL DEVOTED TO THE ILLNESS. Image Senator Tim Kaine, Democrat of Virginia, announced in May 2020 that he had tested positive for the coronavirus. Nearly two years later, he says he is still experiencing symptoms.Credit...Sarahbeth Maney/The New York Times Nearly two years after testing positive for the coronavirus, Senator Tim Kaine of Virginia said he still experiences mild symptoms of long Covid. In an interview with The Washington Post, Mr. Kaine, a Democrat, described feeling as if his nerves have been jolted with five cups of coffee. Though little is known about the exact cause of long Covid, it is estimated to affect millions of people, even months after their infections. Its symptoms, which include brain fog and fatigue, can vary widely in severity. A new bill, introduced on Wednesday by Mr. Kaine and Senators Tammy Duckworth of Illinois and Ed Markey of Massachusetts, takes aim at the unknowns swirling around long Covid. It calls for expanding and accelerating research into the phenomenon, improving education about it and better connecting patients with services. Across the United States, states are easing pandemic restrictions, such as mask mandates and vaccination requirements for select employees. On Tuesday, during his State of the Union address, President Biden spoke of the progress the country has made over the past year in battling the virus’s spread. As a result, he said, “Covid-19 no longer need control our lives.” The White House released a multipronged coronavirus response strategy on Wednesday that commits to hastening efforts to “detect, prevent, and treat long Covid.” The 96-page plan details several proposals, including developing an interagency research plan to investigate the illness and creating “centers of excellence” to provide care for patients. These plans are dependent on funding from Congress. Still, millions of Americans will continue to experience long Covid, Mr. Markey said in a news release. “Long Covid can be serious and devastating, from neurological and respiratory symptoms to impacts on mental health,” he said, adding that the long-term effects of infection should be addressed just as “aggressively” as infection itself. — Christine Chung THE W.H.O. SAYS THE PANDEMIC HAS HIT WOMEN IN THE AMERICAS HARD, ESPECIALLY PREGNANT WOMEN. Image At the height of the pandemic in 2020, the National Perinatal and Maternal Institute in Lima, Peru, set up a tent in its emergency area to receive women in labor who had tested positive for the coronavirus. Olinda Tafur, 20, waited in the tent to be seen by an obstetrician.Credit...Rodrigo Abd/Associated Press Women, and particularly pregnant women, have been disproportionately affected by the coronavirus pandemic in the Americas, and countries in the region need to give women’s health higher priority, World Health Organization officials said on Wednesday. For example, 72 percent of the Covid-19 cases among health professionals in the region have been women, officials said. And while women in general are less likely than men to develop severe disease, some studies found that migrant women and women of African or Indigenous descent in the region are often at greater risk because of “the overlap of gender and social factors,” Dr. Carissa F. Etienne, the director of the Pan American Health Organization, a division of the W.H.O., said at a news conference. She said the pandemic has had a “staggering impact” on maternal deaths, by reducing prenatal health services and cutting off access to care. “Covid-19 morbidity and mortality rates among pregnant women are significantly higher in the Americas, as compared to other W.H.O. regions,” Dr. Etienne said. Since the start of the pandemic, more than 365,000 coronavirus cases have been reported among pregnant women in the region, and more than 3,000 of those women died, according to P.A.H.O. data. Though most countries in the Americas have made access to vaccines for pregnant women a priority, many pregnant women have been hesitant to receive a dose. As the Omicron surge recedes, Dr. Etienne said, countries across the region need to resume providing health services that were interrupted during the height of the pandemic. “Routine checkups, family planning services and pregnancy-related care are lifesaving services that should remain open now, more than ever,” Dr. Etienne said. “Post-rape care has been particularly disrupted by the pandemic. It is unacceptable that women who have been raped do not get the care and support they need.” Reports of new coronavirus cases and deaths are declining in most of the Western Hemisphere, but there are exceptions. Ten countries in the region reported more deaths last week than the week before, officials said, and Central America as a whole reported an increase in deaths of nearly 16 percent. “The number of weekly deaths remains elevated in some countries of the Caribbean, like Jamaica and Trinidad and Tobago, when you analyze these numbers in the context of the entire pandemic timeline,” said Sylvain Aldighieri, P.A.H.O.’s incident manager for Covid-19. P.A.H.O. officials have warned that Caribbean nations remained particularly vulnerable to the virus. — Daniel Politi ADVERTISEMENT Continue reading the main story AS SOME NEW YORK STATE PUBLIC SCHOOLS SHED MASKS, ELATION MIXES WITH TREPIDATION. Image At Guggenheim Elementary School on Long Island, some children were elated to remove their masks.Credit...Johnny Milano for The New York Times For the first time since schools reopened during the pandemic, public school students across New York State entered homerooms, gymnasiums and class without masks. Citing low virus caseloads and a desire to return to a sense of normalcy, Gov. Kathy Hochul lifted the state’s school mask mandate starting Wednesday, leaving local officials to decide mask policy in their schools. But with vaccination rates still low among children and the threat of the coronavirus still present, if lessened, a moment that had once been anticipated as a milestone was met with a mixed response. Among students, teachers and parents, the rush of fresh-faced jubilation on Wednesday was tempered by concerns. On one side was a belief that the decision to lift the mask mandate was long overdue; on the other was a fear that it was dangerously premature. — Sarah Maslin Nir THE HEAD OF A POPULAR BREWERY IN BROOKLYN RESIGNS AFTER HIS ATTACKS ON VACCINE MANDATES DREW CRITICISM. Image Threes Brewing operates a popular brew pub on Douglass Street in the Gowanus neighborhood of Brooklyn. Credit...Aaron Zebrook for The New York Times The chief executive of a popular brewery in Brooklyn, who attracted wide criticism last month when he called coronavirus vaccine mandates a “crime against humanity” and drew comparisons to the Jim Crow South and Nazi Germany, is leaving his post, the company announced on Tuesday. In a statement posted on its social media accounts, the company, Threes Brewing, said the executive — Josh Stylman, one of the brewery’s founders — had decided to resign. “This decision was not made lightly, and comes after careful consideration,” Threes Brewing said. “He believes that his fiduciary responsibilities as C.E.O. of Threes Brewing are in conflict with his duties as a parent and a citizen.” Jared Cohen, the brewery’s chief operating officer, will take over as chief executive, the company said. In a post on Substack titled “New York, I Love You (But You’re Bringing Me Down),” Mr. Stylman said he wanted to be free to speak his mind “without fearing that my place of employment — and most importantly, the team of people who work there — will be held responsible for my personal views.” Mr. Stylman’s comments last month led to a wave of criticism, with some patrons threatening to withhold their business. Lincoln Restler, a City Council member from Brooklyn, said he changed his mind about plans to host an event at Threes when he learned of Mr. Stylman’s remarks about vaccine mandates. In an interview with The Times, Mr. Stylman said he was vaccinated and that the brewery had complied with a city mandate that restaurants and bars require patrons to show proof of full vaccination to enter. Mayor Eric Adams said on Sunday that he intended to let that policy expire next week, if reports of new coronavirus cases remain relatively low. Mr. Stylman said in the interview that when he angrily compared the city proof-of-vaccination policy to the Holocaust and segregation in the Jim Crow South, “I guess I acted out, and wanted to share a point of view publicly to try to preserve any level of personal integrity or humanity.” Employees of Threes Brewing condemned Mr. Stylman’s remarks in a statement on Feb. 17. “We do not stand by our C.E.O. Joshua Stylman’s comparisons of the mandate to historic atrocities based on religion or race,” they said. “We think the comparisons are inappropriate and inaccurate.” Threes Brewing has locations in the Gowanus and Greenpoint neighborhoods of Brooklyn, on Governors Island and in Huntington, N.Y. — Precious Fondren ADVERTISEMENT Continue reading the main story IN A SYMBOLIC VOTE, THE SENATE REJECTS A VACCINE MANDATE FOR HEALTH WORKERS. Image A pharmacist preparing coronavirus booster shots at Meritus Medical Center in Hagerstown, Md. The vaccine mandate applies to workers at hospitals and other health care facilities that receive funding through Medicare and Medicaid.Credit...Kenny Holston for The New York Times The Senate voted on Wednesday to roll back President Biden’s coronavirus vaccine mandate for health care workers at federally funded facilities, in a symbolic move orchestrated by Republicans who are pushing to weaponize pandemic precautions against Democrats in this year’s midterm congressional elections. In a vote forced by Republicans, the measure passed 49 to 44 along party lines, after six Democratic absences left the majority party short of the votes needed to defeat it. The measure was all but certain to die in the Democratic-controlled House; even if it cleared that chamber, the White House said on Wednesday that Mr. Biden would veto it. But Republicans relished the opportunity to hit back against vaccine mandates across the country, seeking to advance their argument that the Biden administration and Democrats have overstepped in their efforts to control the spread of the coronavirus. The Supreme Court, which blocked the Biden administration from enforcing a much broader vaccine-or-testing mandate for large employers, said in January that the mandate for health workers could remain in place. It applies to hospital workers and those at other health care facilities that receive funding through Medicare and Medicaid. Vaccines have been proven safe and effective in stemming the spread of the coronavirus, and several medical experts said the mandates had been successful in persuading more people to get vaccinated. But opponents of the mandate for health workers have cited concerns about staffing shortages at hospitals, as well as the fear of penalizing workers who have been on the front lines battling the spread of the virus. — Emily Cochrane VIOLENCE BREAKS OUT IN NEW ZEALAND AS THE POLICE MOVE TO END A PROTEST AGAINST VACCINE MANDATES. Image A man facing off with the police as officers tried to clear protesters in Wellington, New Zealand, on Wednesday.Credit...Dave Lintott/Agence France-Presse — Getty Images For more than three weeks, hundreds of protesters have disabled the center of New Zealand’s capital city, occupying the area in front of Parliament and issuing increasingly violent threats to politicians and other public figures in an ostensible battle against the country’s vaccine mandates. New Zealand’s highly restrictive pandemic approach — which allowed the country to go months without a single case of community transmission — appears to have alienated a small group of New Zealanders, many of whom have been left without work after refusing to abide by the sweeping vaccine mandates. The occupation was inspired by the recent antigovernment protest by truck drivers in Canada, and as in Canada, a segment of demonstrators were gradually subsumed into the far right. On Wednesday, the police began an aggressive clampdown, descending on the site in Wellington at 6 a.m., dismantling tents, toilets, a kitchen and other camp infrastructure, and urging the demonstrators to leave. Eventually, most did — but not without a fight. New Zealand Coronavirus Cases New reported cases by day All timeLast 90 days Mar. 2020 Jul. Nov. Mar. 2021 Jul. Nov. Mar. 2022 7–day average 10,000 20,000 cases 19,928 Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days. In chaotic and sometimes bloody clashes, protesters wielded fire extinguishers, paint-filled projectiles, homemade plywood shields and pitchforks. Some lobbed cobblestones at officers. Others piled detritus onto gas-fueled fires, including one that caused an explosion at a playground near Parliament. Officers, many bearing riot shields, responded with pepper spray and rubber bullets. At least 60 people were arrested, and three officers were taken to hospitals. Such scenes are rare in New Zealand, and its prime minister, Jacinda Ardern, expressed hope that the day’s events would not change how New Zealanders recalled the pandemic response. — Natasha Frost and Pete McKenzie ADVERTISEMENT Continue reading the main story COVID IN HONG KONG: THE POOR BEAR THE BRUNT OF THE WORST WAVE, AND THE U.S. ISSUES A TRAVEL ADVISORY. Image Constructing a Covid isolation facility in Hong Kong this week. Poor residents have spread the virus to their families because the government has run out of such facilities.Credit...Billy H.C. Kwok for The New York Times The State Department has advised Americans not to travel to Hong Kong because of restrictions imposed by the city and other risks, as case records in the territory reached record highs. Hong Kong’s “‘zero-tolerance’ approach” to the pandemic has hindered travel and access to public services, the travel advisory issued on Tuesday said, and “in some cases, children in Hong Kong who test positive have been separated from their parents and kept in isolation until they meet local hospital discharge requirements.” Hong Kong has also extended its suspension of all passenger flights from the United States — as well as Australia, Britain, Canada, France, India, Nepal, Pakistan and the Philippines — until April 20, citing virus concerns. And this month, its more than seven million residents will be required to be tested. The State Department warning came as Hong Kong was battling its worst coronavirus wave, with the most vulnerable — migrants, racial minorities, the working class — bearing the brunt. Hong Kong Coronavirus Cases New reported cases by day All timeLast 90 days Feb. 2020 Jun. Oct. Feb. 2021 Jun. Oct. Feb. 2022 7–day average 20,000 40,000 60,000 cases 18,567 Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days. While the city has long been one of the most unequal on earth, rarely has the cost of that inequality been so steep. That is, in part, because of the sheer scale of this wave, which in two months has led to more than 250,000 cases and 800 deaths — multiple times as many as in the previous four waves combined. Bodies have piled up in hospital hallways because morgues have no room. Older patients have been left on gurneys outdoors. But the suffering has also been aggravated, some say, by government policy. Under direction from the central Chinese authorities, Hong Kong officials have insisted on some of the world’s most stringent social distancing rules, crippling many service industries. Yet, they have failed to contain the virus. As a result, poor residents have been forced to choose between infecting their families or sleeping outdoors because of cramped living quarters and a lack of isolation facilities. Migrant domestic workers have been fired after getting sick and forced to sleep on the streets. (Hong Kong law requires the workers — who make up about 10 percent of the working population — to live in their employers’ homes.) Residents who recover cannot return to work because the testing jam means they cannot prove they are negative. And even those who have avoided infection are straining under the pandemic’s economic burden. — John Yoon, Vivian Wang and Joy Dong CASES CONTINUE TO DECLINE AROUND THE WORLD, BUT THE W.H.O. SAYS GAPS IN MENTAL HEALTH CARE PERSIST. Image The pandemic has taken a toll on mental health around the world.Credit...Kieran Kesner for The New York Times The global outlook for the pandemic continues to brighten, with the spread of the once-surging virus steadily declining, from the United States to the Philippines. New cases fell by 16 percent last week, according to new data from the World Health Organization released on Tuesday. Deaths dropped by 10 percent, in a continuation of the downward trends reported by the agency the previous week. As of Tuesday, the daily average number of cases was about 1.5 million, a 27 percent decrease from two weeks ago, according to the Center for Systems Science and Engineering at Johns Hopkins University. Not all countries saw improvement. The W.H.O.’s Western Pacific region reported a 32 percent increase in new weekly cases. Despite high vaccination rates in China and Vietnam, new cases have multiplied rapidly over the past two weeks. And in South Korea, cases have climbed to their highest levels. Vaccine coverage around the world has been rising. Vaccine supply and delivery constraints have improved, W.H.O. officials said at a Wednesday news conference, adding that 56 percent of the global population is now fully vaccinated. More than 10 billion doses of the vaccine have been administered, according to Our World in Data. Leaders of countries and municipalities have interpreted the decline in cases and deaths as a signal that life could return to normal in the near future. In recent weeks, pandemic restrictions such as mask mandates governing public spaces and schools have fallen away in many communities. But the toll on mental health has been steep and gaps in care persist, the W.H.O. said in a report on Wednesday. The agency found that in the pandemic’s first year, depression and anxiety had increased by 25 percent. The data represented “just the tip of the iceberg,” said Dr. Tedros Adhanom Ghebreyesus, the W.H.O.’s director general. “This is a wake-up call to all countries to pay more attention to mental health and do a better job of supporting their populations’ mental health,” he added. The report named a long list of stressors aggravating mental health issues, including social isolation, loneliness, fear of infection, financial duress, the suffering and death of loved ones and grief after bereavement. While people with pre-existing mental health disorders were not predisposed to contracting the virus, they were more likely to be hospitalized, become severely ill and die if infected, the data suggested. The pandemic has also disproportionately affected the mental health of young people and women, the report said. And pregnant women have been particularly vulnerable, according to W.H.O. officials. Over the past two years, more than 365,000 coronavirus cases have been reported among pregnant women in the Americas, according to data from the Pan American Health Organization, a division of the W.H.O. More than 3,000 of them died. Correction: March 3, 2022 An earlier version of this post misstated the number of vaccine doses administered worldwide. It is more than 10 billion, not more than 10 million. — Christine Chung SITE INFORMATION NAVIGATION * © 2022 The New York Times Company * NYTCo * Contact Us * Accessibility * Work with us * Advertise * T Brand Studio * Your Ad Choices * Privacy Policy * Terms of Service * Terms of Sale * Site Map * Canada * International * Help * Subscriptions You’ve reached your limit of free articles. Already a subscriber? Log in. 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