California and New York City announced on Monday that they would require all government employees to get the coronavirus vaccine or face weekly Covid-19 testing, and the Department of Veterans Affairs became the first major federal agency to require healthcare workers to receive the shot.
Meanwhile, in a possible sign that increasingly dire health warnings are getting through to more Americans, vaccination rates began to creep up again, offering hope that people who have previously been reluctant to receive the shot may finally be getting inoculated.
In New York City, Mayor Bill de Blasio announced that all municipal workers – including teachers and police officers – will be required to get vaccinated by mid-September or face weekly Covid-19 testing, making the city one of the largest employers in the US to take such action.
“Let’s be clear about why this is so important: this is about our recovery,” De Blasio said.
California said it will similarly require proof of vaccination or weekly testing for all state workers and healthcare employees starting next month.
The move comes amid a surge in cases in California, which have risen 218% over the last two weeks, while hospitalizations are up 62%, according to New York Times data. In the month since California lifted all Covid safety restrictions for its “grand reopening”, the state capitol has reinstated a mask requirement after several aides contracted Covid-19, and Los Angeles county is again requiring mask-wearing indoors, even for people who are fully vaccinated. The San Francisco Bar Alliance, which represents almost 500 bars, is recommending that members require guests to show proof of vaccination to enter the establishments.
California saw a 16% increase in vaccinations over last week and is one of the country’s most vaccinated states with 77% of adults having received at least one vaccine dose, but there are still plenty of unprotected people to transmit the virus, experts say.
“Primarily, we’re seeing infections in the unvaccinated,” said George Rutherford, an epidemiologist at the University of California, San Francisco.
The VA’s move came on a day when nearly 60 leading medical and healthcare organizations issued a call through the American Medical Association for healthcare facilities to require their workers to get vaccinated.
“I am doing this because it’s the best way to keep our veterans safe, full stop,” the veterans affairs secretary, Denis McDonough, told the New York Times.
Elsewhere, St Louis became the second major city to mandate that face masks be worn indoors, regardless of vaccination status, joining Los Angeles in re-imposing the orders.
“For those who are vaccinated, this may feel like punishment, punishment for doing the right thing,” the St Louis county executive, Sam Page, a Democrat, said Monday. “I’ve heard that, and I feel that frustration.”
Dr Leana Wen, a former Baltimore health commissioner, applauded the moves but called on Joe Biden to “lead by example” and impose similar mandates on federal employees and in public venues where the government has jurisdiction, like on planes, trains and government buildings.
She also said all hospitals and nursing homes need to require all employees get vaccinated.
“We need vaccine mandates and vaccine verification,” Wen said. “We’re well past the time for the Biden administration to get onboard with this. What we’re doing is not working. Doing more of the same is not the answer here.”
The White House has so far deferred to the Centers for Disease Control and Prevention (CDC) on masking guidance, which recommends that those who are unvaccinated wear masks indoors. But officials acknowledged over the weekend that they were considering changing that guidance and recommending that the vaccinated also wear masks indoors.
“We’re going in the wrong direction,” Dr Anthony Fauci, the nation’s top infectious disease expert, said on CNN’s State of the Union on Sunday.
Wen, who is also an emergency physician and public professor at George Washington University, said public health experts have been worrying for months about this very scenario.
“We were worried the honor system would not work, the unvaccinated would be behaving as if they’re vaccinated and people would think the pandemic is over,” she said. “That’s precisely what has happened, and it’s incredibly frustrating.”
Dr Albert Ko, an infectious disease specialist Yale’s School of Public Health, said the US should not have been caught off guard after watching the Delta variant ravage India in May and then land in the United Kingdom, Israel and other highly vaccinated nations with force last month.
“We have learned multiple times to not take anything for granted with Covid,” he said.
The US is about 67% immune from Covid-19 when prior infections are factored, but it will need to get closer to 85% to crush the resurgent virus, said Dr Ashish Jha, dean of Brown University’s School of Public Health.
“So we need a lot more vaccinations. Or a lot more infections,” he tweeted on Sunday.
Jha said the nation has to brace for another rough few months. The disease has killed almost 611,000 people in the US since the pandemic started last year.
Vaccinations ticked up over the weekend, with about 657,000 vaccines reported administered Saturday and nearly 780,000 on Sunday, according to CDC data. The seven-day rolling average on Sunday was about 583,000 vaccinations a day, up from about 525,000 a week prior.
Public health experts on Monday said the uptick in vaccinations is encouraging but warned that it was far too early to say if the numbers mean that millions of unvaccinated people are finally beginning to overcome their reticence.
The seven-day rolling average for daily new cases in the country shot up over the past two weeks, from more than 19,000 on 11 July to nearly 52,000 on 25 July, according to data from Johns Hopkins University.
Some prominent conservative and Republican voices that have spent months casting doubt on the vaccination effort have recently started sounding a different tune.
The House minority whip, Steve Scalise, a Louisiana Republican, was among the members of the GOP Doctors Caucus who held a press conference at the Capitol late last week in which they called for people to get vaccinated.
A week ago, on 19 July, the Fox News host Sean Hannity declared: “It absolutely makes sense for many Americans to get vaccinated. I believe in science. I believe in the science of vaccinations.”
And in Tennessee, the brother of a popular local conservative radio host who had been a vaccine skeptic urged listeners to get vaccinated as his brother was in critical care in the hospital battling Covid-19.
“For those listening, I know if he were able to tell you this, he would tell you, ‘Go get vaccinated. Quit worrying about the politics. Quit worrying about all the conspiracy theories,’” Mark Valentine said of his brother, Phil Valentine, Thursday on WWTN-FM in Nashville.