Friday, July 30, 2021

The Morning: More Covid mysteries

Plus: A scrumptious roasted chicken parm

Good morning. Covid is more mysterious than we often admit.

Pedestrians this week in central London.Tolga Akmen/Agence France-Presse — Getty Images

Not in control

Consider these Covid-19 mysteries:

  • In India — where the Delta variant was first identified and caused a huge outbreak — cases have plunged over the past two months. A similar drop may now be underway in Britain. There is no clear explanation for these declines.
  • In the U.S., cases started falling rapidly in early January. The decline began before vaccination was widespread and did not follow any evident changes in Americans' Covid attitudes.
  • In March and April, the Alpha variant helped cause a sharp rise in cases in the upper Midwest and Canada. That outbreak seemed poised to spread to the rest of North America — but did not.
  • This spring, caseloads were not consistently higher in parts of the U.S. that had relaxed masking and social distancing measures (like Florida and Texas) than in regions that remained vigilant.
  • Large parts of Africa and Asia still have not experienced outbreaks as big as those in Europe, North America and South America.

How do we solve these mysteries? Michael Osterholm, who runs an infectious disease research center at the University of Minnesota, suggests that people keep in mind one overriding idea: humility.

"We've ascribed far too much human authority over the virus," he told me.

'Much, much milder'

Over the course of this pandemic, I have found one of my early assumptions especially hard to shake. It's one that many other people seem to share — namely, that a virus always keeps spreading, eventually infecting almost the entire population, unless human beings take actions to stop it. And this idea does have crucial aspects of truth. Social distancing and especially vaccination can save lives.

But much of the ebb and flow of a pandemic cannot be explained by changes in human behavior. That was true with influenza a century ago, and it is true with Covid now. An outbreak often fizzles mysteriously, like a forest fire that fails to jump from one patch of trees to another.

The experience with Alpha in the Midwest this spring is telling:

Even Osterholm said that he had assumed the spring surge would spread from Michigan and his home state of Minnesota to the entire U.S. It did not. It barely spread to nearby Iowa and Ohio. Whatever the reasons, the pattern shows that the mental model many of us have — in which only human intervention can have a major effect on caseloads — is wrong.

Britain has become another example. The Delta variant is even more contagious than Alpha, and it seemed as though it might infect every unvaccinated British resident after it began spreading in May. Some experts predicted that the number of daily cases would hit 200,000, more than three times the country's previous peak. Instead, cases peaked — for now — around 47,000, before falling below 30,000 this week.

"The current Delta wave in the U.K. is turning out to be much, much milder than we anticipated," wrote David Mackie, J.P. Morgan's chief European economist.

True, you can find plenty of supposed explanations, including the end of the European soccer tournament, the timing of school vacations and the Britain's notoriously late-arriving summer weather, as Mark Landler, The Times's London bureau chief, has noted. But none of the explanations seem nearly big enough to explain the decline, especially when you consider that India has also experienced a boom and bust in caseloads. India, of course, did not play in Europe's soccer championship and is not known for cool June weather.

'Rip through'

A more plausible explanation appears to be that Delta spreads very quickly at first and, for some unknown set of reasons, peters out long before a society has reached herd immunity. As Andy Slavitt, a former Covid adviser to President Biden, told me, "It seems to rip through really fast and infect the people it's going to infect." The most counterintuitive idea here is that an outbreak can fade even though many people remain vulnerable to Covid.

That's not guaranteed to happen everywhere, and there probably will be more variants after Delta. Remember: Covid behaves in mysterious ways. But Americans should not assume that Delta is destined to cause months of rising caseloads. Nor should they assume that a sudden decline, if one starts this summer, fits a tidy narrative that attributes the turnaround to rising vaccination and mask wearing.

"These surges have little to do with what humans do," Osterholm argues. "Only recently, with vaccines, have we begun to have a real impact."

No need for nihilism

I don't want anyone to think that Osterholm is making a nihilist argument. Human responses do make a difference: Masks and social distancing can slow the spread of the virus, and vaccination can end a pandemic.

The most important step has been the vaccination of many older people. As a result, total British deaths have risen only modestly this summer, while deaths and hospitalizations remain rarer in heavily vaccinated parts of the U.S. than in less vaccinated ones.

But Osterholm's plea for humility does have policy implications. It argues for prioritizing vaccination over every other strategy. It also reminds us to avoid believing that we can always know which behaviors create risks.

That lesson has particular relevance to schools. Many of the Covid rules that school districts are enacting seem overly confident about what matters, Osterholm told me. Ventilation seems helpful, and masking children may be. Yet reopening schools unavoidably involves risk. The alternative — months more of lost learning and social isolation — almost certainly involves more risk and greater costs to children. Fortunately, school employees and teenagers can be vaccinated, and severe childhood Covid remains extremely rare.

We are certainly not powerless in the face of Covid. We can reduce its risks, just as we can reduce the risks from driving, biking, swimming and many other everyday activities. But we cannot eliminate them. "We're not in nearly as much control as we think are," Osterholm said.

A programming note: Starting Monday, I'm taking my annual summer break from writing this newsletter. While I'm gone, an exciting rotation of Times journalists will be coming to your inbox. Up first, on Monday: Vivian Wang, reporting from China. I'll be back on Tuesday, Aug. 24.

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THE LATEST NEWS

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President Biden spoke yesterday at the White House about vaccination.Sarahbeth Maney/The New York Times
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ARTS AND IDEAS

The German gymnast Kim Bui on the beam.Ezra Shaw/Getty Images

Defying the dress code

Who gets to decide which outfits are appropriate for athletes? It's usually not the athletes themselves. But this year, some have rebelled.

Just before the Games, the European Handball Federation fined members of the Norway women's team for wearing hot pants rather than the required bikini bottoms. (Their male counterparts wear voluminous shorts.) In Tokyo, the German women's gymnastics team defied tradition by wearing ankle-length unitards to send a message "against sexualization in gymnastics."

That their protest registered as "a subversive sensation," writes Sally Jenkins in The Washington Post, "tells you just how little Olympic competitors own their otherwise powerful forms." The Times fashion critic Vanessa Friedman points out that similar questions arise in many workplaces. "Individuals have increasingly rebelled against the traditional and highly gendered dress codes imposed on them."

Rebecca Liu, writing in The Guardian, describes how she was drawn as a child to the glitz of rhythmic gymnastics. "Did I, at six — at seven, at eight, at nine — ever sit down and think, 'Yes, I want to embody a conventional vision of femininity in the uncanniest and most unsettling of ways?'" she writes. "No. I had simply wanted to be pretty." — Natasha Frost, a Morning writer

PLAY, WATCH, EAT

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David Malosh for The New York Times

You don't need much for this freestyle roasted chicken parm.

What to Watch

This intrepid documentary follows the rescue of Yazidi girls kidnapped by Islamic State fighters.

The News Quiz

How do you compare with other Times readers on the News Quiz?

Now Time to Play

The pangrams from yesterday's Spelling Bee were muzzling and unmuzzling. Here is today's puzzle — or you can play online.

Here's today's Mini Crossword, and a clue: In the dumps (four letters).

If you're in the mood to play more, find all our games here.

Thanks for spending part of your morning with The Times. This newsletter will be back in your inbox on Monday. — David

P.S. President Lyndon Johnson signed Medicare and Medicaid into law 56 years ago today.

"The Daily" is about Simone Biles's decision to drop out of the Olympics. "The Ezra Klein Show" features Nikole Hannah-Jones and Ta-Nehisi Coates on the 1619 Project.

Natasha Frost, Ian Prasad Philbrick, Tom Wright-Piersanti and Sanam Yar contributed to The Morning. You can reach the team at themorning@nytimes.com.

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Thursday, July 29, 2021

The Morning: Mandate momentum

Plus: Advice on beating the blahs

Good morning. Vaccine mandates are on the rise, and they will probably have a bigger effect than mask mandates.

A public health worker in Springfield, Mo., discussing a vaccination event earlier this month.Jill Toyoshiba/The Kansas City Star, via Associated Press

Mandate momentum

Momentum for vaccine mandates seems to be building — which could ultimately matter much more than any mask-wearing guidelines.

  • Facebook, Google and Netflix all said yesterday that they would require many employees to have been vaccinated for Covid-19, with limited exceptions for medical or religious reasons. The companies joined Morgan Stanley, The Washington Post and several other high-profile private employers.
  • Several local governments — including New York State yesterday — have announced worker mandates that cover a few million people combined. In some cases, people can take a regular Covid test instead of being vaccinated.
  • More than 600 universities have announced mandates for students or employees. California State, the country's largest four-year public university system, joined the list Tuesday. Many hospitals also have mandates, including the sprawling Veterans Health Administration and the Mayo Clinic.
  • Perhaps the biggest new rule is scheduled to be announced today — from President Biden, covering the millions who work for the federal government.

These high-profile announcements make it much easier for other organizations that had been considering mandates to go ahead: Their leaders no longer need to worry they will become the subject of national attention for enacting one.

Still, vaccine mandates remain the exception. The vast majority of private companies have not required their workers to be vaccinated. Nor have almost any major companies required their customers — like airline passengers or theater goers — to be vaccinated. (One hurdle, some companies say, is the F.D.A.'s failure to grant the vaccines full approval, despite strong endorsements by the F.D.A.'s leaders.)

Mandates, in short, may be the most significant Covid response that the country has not yet really tried.

'Real anger brewing'

Mandates are controversial, obviously. Many Republican officials oppose them. Ohio has passed a law restricting school mandates, and Florida has banned businesses from requiring consumers to prove vaccination. Given this opposition, vaccine mandates are never going to be national.

But they could become much more common — and the Delta variant has led more politicians, business executives and other leaders to consider them. Several weeks ago, Covid appeared to be receding on its own: Vaccinations were rising, and cases were plunging. But the combination of lingering vaccine skepticism and the contagiousness of Delta has caused cases to surge.

Many Americans are now unhappily pondering the possibility that a return to normal life remains months away. The C.D.C. is telling some people to put their masks back on. Businesses, including Google, are delaying plans to bring workers back to the office, into the autumn. Parents are anxious that schools will not fully reopen this fall, which would almost certainly cause more academic and psychological damage for children. Many parents are also worried that children too young to be vaccinated remain vulnerable to "long Covid."

The primary cause of all these problems, many experts say, is the large share of Americans who are unvaccinated — about one third of those eligible. The biggest costs of their refusal fall directly on them: They are risking their lives. But vaccinated people also pay a price, through restrictions on daily life — and the increased chances of future outbreaks, which could produce vaccine-resistant variants.

"I think there's some real anger brewing out there among vaccinated folks that's not getting much attention," David Nir, the political director of Daily Kos, wrote. My colleague Roni Caryn Rabin reported, "Many inoculated Americans are losing patience with vaccine holdouts." Kay Ivey, Alabama's Republican governor, was harsher: "Time to start blaming the unvaccinated."

Vaccine mandates are the policy manifestation of this frustration. They effectively tell the unvaccinated that their decision is hurting others and that society has an interest in pushing them to change. They can refuse, but they will pay a price — in lost access to a job, a college campus or other shared experiences where they may infect other people.

A mother and son wait after receiving their vaccines in the Bronx.James Estrin/The New York Times

More voices

Ezra Klein, Times Opinion: "The conventional wisdom is that there is some argument, yet unmade and perhaps undiscovered, that will change the minds of the roughly 30 percent of American adults who haven't gotten at least one dose. There probably isn't … Polio and measles were murderous, but their near elimination required vaccine mandates."

German Lopez, Vox: "Mandates should be treated as a last resort: The cities and states that, for example, haven't tried cash incentives for vaccination could try that first." (Starting tomorrow, New York City will give $100 to many residents who receive their first dose.)

The Wall Street Journal editorial board: "No government should order the general public to take a vaccine except in cases of the most extreme health danger. The matter is different for private employers, who should be able to set their own workplace rules … It's an odd libertarian streak that dislikes government orders to individuals but then says private employers shouldn't be free to choose."

And more on Covid

  • Fully vaccinated people from the U.S. and most of Europe will be allowed to enter England and Scotland without quarantining starting Monday.
  • Senator Mitch McConnell plans to buy radio ads promoting vaccines in Kentucky.
  • Federal pandemic aid will cut the number of Americans in poverty by a record 45 percent this year, a study found.

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THE LATEST NEWS

Congress
The bipartisan group of senators after voting yesterday.T.J. Kirkpatrick for The New York Times
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  • "Neither side got everything they wanted," Biden said. "But that's what it means to compromise and forge consensus."
  • Separately, Senator Kyrsten Sinema said she did not support a $3.5 trillion bill for social and environmental programs, likely forcing other Democrats to scale back that proposal.
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Sam Kendricks is the sixth U.S. athlete to test positive for the coronavirus.Christine Olsson/Agence France-Presse — Getty Images
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Valerie Taylor in 1982. She is the subject of the documentary "Playing With Sharks."Ron & Valerie Taylor

Undoing the damage of 'Jaws'

A skilled diver and spearfishing champion, Valerie Taylor was one half of the Australian couple whose shark footage featured in the climax of the 1975 blockbuster "Jaws."

That's just one chapter of her life. There was also the time she saved herself at sea by anchoring her hair ribbons to coral until a boat found her. Or the time she taught Mick Jagger to scuba dive. Now 85, she is the subject of a National Geographic documentary, "Playing With Sharks," on Disney+.

Taylor has spent much of her life as a conservationist of sharks. "They all have different personalities. Some are shy, some are bullies, some are brave," she told Ashley Spencer in an interview for The Times. "When you get to know a school of sharks, you get to know them as individuals."

Her shift from hunter to conservationist happened in the 1960s, after she killed a shark while shooting a film. She regrets how "Jaws" influenced audiences to fear bloodthirsty, human-stalking sharks. "There's no shark like that alive in the world today," she said.

Though climate change and overfishing has ruined many of the underwater habitats Taylor witnessed, and her arthritis makes swimming in colder waters difficult, she still dives. "I can't jump anymore," she said. "But if I go into the ocean, I can fly." — Sanam Yar, a Morning writer

PLAY, WATCH, EAT

What to Cook
Ryan Liebe for The New York Times

Embrace the sweet and salty flavors of skirt steak bulgogi, which means "fire meat" in Korean. Here's a meatless option with eggplant. And read Eric Kim on bulgogi's ancient origins.

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What to Read

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Now Time to Play

The pangram from yesterday's Spelling Bee was nationhood. Here is today's puzzle — or you can play online.

Here's today's Mini Crossword, and a clue: On the ocean (four letters).

If you're in the mood to play more, find all our games here.

Thanks for spending part of your morning with The Times. See you tomorrow. — David

P.S. The Times received 18 News and Documentary Emmy nominations, including for "The Weekly" and "Father Soldier Son."

"The Daily" is about China's nuclear arsenal. On "Sway," Sridhar Ramaswamy discusses taking on Google. "Popcast" is about Lil Nas X's unconventional success.

Natasha Frost, Claire Moses, Ian Prasad Philbrick and Sanam Yar contributed to The Morning. You can reach the team at themorning@nytimes.com.

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