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"content": "\u003cp>\u003cem>Updated July 29, 10 a.m.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Please note that the science on the delta variant is changing fast, with new data consistently being reported. Check our latest coverage for the most updated information. \u003c/em>\u003c/p>\n\u003cp>New data on the delta variant is coming in, and it’s not looking good. The currently authorized vaccines are still very protective, especially against hospitalization and death. But when it comes to getting an asymptomatic or mild case of COVID, they may not be quite as protective as they were against earlier strains.\u003c/p>\n\u003cp>And, here’s the part that really could change your day-to-day life: It seems vaccinated people who get breakthrough infections may be able to transmit the virus, according to the director of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky.\u003c/p>\n\u003cp>“On rare occasions, some vaccinated people infected with the delta variant after vaccination may be contagious and spread the virus to others,” she \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/27/1021206558/cdc-expected-to-change-mask-guidance-for-vaccinated-people-including-in-schools\" target=\"_blank\" rel=\"noopener noreferrer\">told reporters Tuesday\u003c/a>, citing unpublished CDC data from recent outbreak investigations. “This new science is worrisome.” [aside postID=news_11882632]\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That led the CDC to advise that even if people are fully vaccinated, they should \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html\" target=\"_blank\" rel=\"noopener noreferrer\">wear masks indoors\u003c/a> if \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/28/1021795290/cdc-mask-guidelines-indoors-vaccinated-by-county-covid-spread\" target=\"_blank\" rel=\"noopener noreferrer\">they live in a place\u003c/a> with “substantial” or “high” levels of coronavirus transmission.\u003c/p>\n\u003cp>Still, people who’ve been vaccinated may rightly be asking: Are breakthrough cases becoming more common because of the delta variant? Could I get sick or get a family member sick?\u003c/p>\n\u003cp>Here’s what to know about breakthrough cases in the context of the delta variant, and what scientists are doing to track the vaccines’ efficacy.\u003c/p>\n\u003ch3>You Can Get COVID-19 Even if You’re Vaccinated, but It’s Rare and Likely to Be Mild\u003c/h3>\n\u003cp>Bottom line: Don’t panic. So far, research shows the current vaccines are holding up well against the delta variant. For instance, \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMoa2108891\" target=\"_blank\" rel=\"noopener noreferrer\">data from the U.K.\u003c/a> suggests the Pfizer vaccine is 88% effective at preventing symptomatic COVID-19 from the delta variant after two doses. And an earlier \u003ca href=\"https://www.gov.uk/government/news/vaccines-highly-effective-against-hospitalisation-from-delta-variant\" target=\"_blank\" rel=\"noopener noreferrer\">study from the U.K.\u003c/a> found that it is 96% effective against hospitalization.\u003c/p>\n\u003cp>If you do get infected (which is not likely but possible), the vaccine should help you keep from getting seriously sick. “Breakthrough infections, they tend to be mild — they tend to be more like a cold,” said \u003ca href=\"https://vaccines.emory.edu/faculty-evc/primary-faculty/delrio_carlos.html\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Carlos del Rio\u003c/a>, professor of medicine and infectious disease epidemiology at the Emory University School of Medicine.\u003c/p>\n\u003cp>Severe cases among vaccinated people are possible, but extremely rare — the vaccines dramatically reduce the risk of serious illness that leads to hospitalization or death. And 97% of those currently hospitalized with COVID-19 are unvaccinated, \u003ca href=\"https://www.npr.org/2021/07/16/1017002907/u-s-covid-deaths-are-rising-again-experts-call-it-a-pandemic-of-the-unvaccinated\" target=\"_blank\" rel=\"noopener noreferrer\">according to Walensky\u003c/a>.\u003c/p>\n\u003cp>For context, as of July 19, out of 159 million fully vaccinated people, the \u003ca href=\"https://www.cdc.gov/vaccines/covid-19/health-departments/breakthrough-cases.html\" target=\"_blank\" rel=\"noopener noreferrer\">CDC documented\u003c/a> 5,914 cases of fully vaccinated people who were hospitalized or died from COVID-19, and 75% of them were over age 65. It’s not clear how many of these breakthrough infections were caused by the delta variant, but that’s now by far \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#variant-proportions\" target=\"_blank\" rel=\"noopener noreferrer\">the dominant variant\u003c/a> in circulation.\u003c/p>\n\u003cp>The chances of getting seriously ill after being vaccinated are higher for those with \u003ca href=\"https://www.npr.org/sections/health-shots/2021/03/29/981767390/immunocompromised-and-concerned-about-the-vaccine-heres-what-you-need-to-know\" target=\"_blank\" rel=\"noopener noreferrer\">certain health conditions\u003c/a> that affect the immune system.\u003ca href=\"https://www.houstonmethodist.org/faculty/marc-boom/\" target=\"_blank\" rel=\"noopener noreferrer\"> Dr. Marc Boom,\u003c/a> president and CEO of Houston Methodist, said that at his hospital, 90% of the patients with COVID-19 are unvaccinated. The small percentage of vaccinated patients who do end up hospitalized, he said, “have underlying significant health risks — like cancer, like [organ] transplants — that probably prevented them from mounting a full immune response to the vaccine.”\u003c/p>\n\u003ch3>You May Be Able to Spread the Coronavirus if You Get a Breakthrough Infection\u003c/h3>\n\u003cp>Although health officials initially believed that it was unlikely people who got infected after being fully vaccinated could transmit the virus, new research suggests they can. Part of the reason, experts say, may be that the delta variant has been shown to \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/08/1013794996/why-the-delta-variant-is-so-contagious-a-new-study-sheds-light\" target=\"_blank\" rel=\"noopener noreferrer\">replicate quickly and copiously\u003c/a> in people it infects.\u003c/p>\n\u003cp>As Walensky explained Tuesday, CDC has conducted outbreak investigations, and analyzed the viral load in the people who got infected, breaking out the vaccinated from the unvaccinated. “When we examine the rarer breakthrough infections and we look at the amount of virus in those people, it is pretty similar to the amount of virus in unvaccinated people,” she said.\u003c/p>\n\u003cp>CDC is continuing to follow those breakthrough cases to understand whether this higher-than-expected viral load leads them to actually infect other people.\u003c/p>\n\u003cp>The viral load data was part of the reason CDC changed its masking guidelines for vaccinated people, Walensky said, but the agency has not yet released the data she described.\u003c/p>\n\u003cp>“CDC has been good about releasing data along with policy,” said \u003ca href=\"https://medicine.yale.edu/yigh/profile/saad_omer/\" target=\"_blank\" rel=\"noopener noreferrer\">Saad Omer\u003c/a>, director of the Yale Institute for Global Health. He’s hoping this data will be made public soon as well, so he and other infectious disease experts can look it through.\u003c/p>\n\u003ch3>A Small Study Suggests It Might Be Possible for Vaccinated People to Get Long COVID\u003c/h3>\n\u003cp>Until recently there was very little data to help answer the question of whether the vaccinated could get long-haul COVID after a breakthrough case. Some experts thought it was unlikely. But a \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa2109072\" target=\"_blank\" rel=\"noopener noreferrer\">new study from Israel\u003c/a> suggests there’s a chance vaccinated people may be at risk for \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects.html\" target=\"_blank\" rel=\"noopener noreferrer\">long COVID-19 symptoms\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/28/1021888033/breakthrough-infections-may-cause-long-covid-symptoms-small-study-suggests\" target=\"_blank\" rel=\"noopener noreferrer\">As NPR reported,\u003c/a> researchers at the Sheba Medical Center in Israel tracked nearly 1,500 vaccinated health care workers — among them, 39 people got sick with COVID, and of those, seven people had symptoms that lingered beyond six weeks.\u003c/p>\n\u003cp>Gili Regev-Yochay, who led the study, said these patients had symptoms like severe fatigue, loss of taste and smell, muscle pain and headaches.\u003c/p>\n\u003cp>“You could say these are mild symptoms, but disturbing enough that some of them didn’t even return to work,” she said.\u003c/p>\n\u003cp>It could be that this is a false alarm, and that these cases are even rarer than this study suggests, or that these symptoms do end up going away relatively quickly and don’t plague people for months like long COVID. Nevertheless, infectious disease experts described the findings as concerning.\u003c/p>\n\u003cp>“This study is the first to give us an indicator that we may be seeing long COVID even after vaccination, said \u003ca href=\"https://www.scripps.edu/faculty/topol/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Eric Topol,\u003c/a> a professor of molecular medicine at Scripps Research. “We had hoped that when you get vaccinated even if you did have a breakthrough infection, you would have enough of an immune response that would block this protracted symptom complex.”\u003c/p>\n\u003cp>Scientists stress more research is needed to understand this issue. In the meantime, “the safest thing to do is to avoid being infected altogether,” says virologist \u003ca href=\"https://angelarasmussen.org/about\" target=\"_blank\" rel=\"noopener noreferrer\">Angela Rasmussen\u003c/a> of the Vaccine and Infectious Disease Organization at the University of Saskatchewan in Canada.\u003c/p>\n\u003cp>That might mean — in addition to vaccination — breaking out masks again, re-upping good hand hygiene and getting more air circulating when gathering indoors.\u003c/p>\n\u003cp>“The mitigation measures that we have put in place previously will still work against the delta variant — it’s not being transmitted by some other route,” Rasmussen added.\u003c/p>\n\u003ch3>CDC Doesn’t Track All Breakthroughs, but It’s Using Modeling to Estimate the Risk\u003c/h3>\n\u003cp>There’s no exact number of breakthrough cases nationally. It would be difficult to count the asymptomatic breakthrough cases because the U.S. isn’t testing nearly enough to catch them all. And in fact, the CDC stopped keeping a \u003ca href=\"https://www.npr.org/sections/health-shots/2021/05/27/1000933529/cdc-approach-to-breakthrough-infections-sparks-concerns\" target=\"_blank\" rel=\"noopener noreferrer\">running tally of mild breakthrough cases in May\u003c/a>.\u003c/p>\n\u003cp>But that’s not necessarily a problem, said \u003ca href=\"https://sph.umich.edu/faculty-profiles/martin-emily.html\" target=\"_blank\" rel=\"noopener noreferrer\">Emily Martin\u003c/a>, an epidemiology professor at the University of Michigan. “You don’t want to test everybody — you don’t need every positive to be identified,” she said. “You just need to understand how the positives that you’re finding represent the whole pie that you’re not seeing.”\u003c/p>\n\u003cp>The CDC runs carefully designed surveillance systems (which try to find pie slices that are representative) and does burden estimation (calculations you use to fill in the rest of the pie). It’s a process that’s already done every year with the flu, Martin said, to assess how well the flu shot is working when the vast majority of people who get the flu are never tested.\u003c/p>\n\u003cp>Now, the CDC is doing the same thing to monitor COVID-19. Hospitals and health departments are sending the CDC detailed information about certain cases of vaccinated patients who are hospitalized with COVID-19.\u003c/p>\n\u003cp>“We’d like to have a sample of the virus so that we can understand the viral load, so that we can sequence it, we can understand their symptoms and their risks that potentially put them in that situation,” the CDC’s Walensky told a \u003ca href=\"https://www.help.senate.gov/hearings/the-path-forward-a-federal-perspective-on-the-covid-19-response\" target=\"_blank\" rel=\"noopener noreferrer\">Senate panel \u003c/a>last week.\u003c/p>\n\u003cp>At the same time, the agency is doing ongoing \u003ca href=\"https://www.cdc.gov/vaccines/covid-19/effectiveness-research/protocols.html\" target=\"_blank\" rel=\"noopener noreferrer\">vaccine effectiveness studies\u003c/a> at long-term care facilities, academic medical centers, hospitals, and among health care and essential workers. “We’re doing many of those studies across the nation,” Walensky said, explaining that these allow the CDC to get an accurate picture of the real rate of breakthroughs among vaccinated people and whether that’s changing over time.\u003c/p>\n\u003cp>“That is a more systematic way of measuring breakthrough cases,” Martin said. Realistically, health officials can’t count every case, so this careful, long-term surveillance, along with calculations to extrapolate those findings, gives a fuller picture of how much virus is really out in the community.\u003c/p>\n\u003ch3>The Number of Breakthrough Cases is Growing, and That’s Expected\u003c/h3>\n\u003cp>There’s basic arithmetic at play: As more people get vaccinated, even if breakthroughs are rare, a rising number of cases will be among the vaccinated.\u003c/p>\n\u003cp>“Even with a 95% efficacious vaccine, you will have one in 20 vaccinees who are exposed get the disease,” said \u003ca href=\"https://www.medschool.umaryland.edu/profiles/Neuzil-Kathleen/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Kathleen Neuzil\u003c/a>, director of the Center for Vaccine Development and Global Health at the University of Maryland. The important thing to note is that “the overwhelming number [of cases] are among the unvaccinated,” she said.\u003c/p>\n\u003cp>Certainly, with the delta variant taking over — which spreads about \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/08/1013794996/why-the-delta-variant-is-so-contagious-a-new-study-sheds-light\" target=\"_blank\" rel=\"noopener noreferrer\">two to three times faster\u003c/a> than the original strain — there will be more cases among everyone, vaccinated and unvaccinated, said \u003ca href=\"https://vivo.weill.cornell.edu/display/cwid-jpm2003\" target=\"_blank\" rel=\"noopener noreferrer\">John Moore\u003c/a>, professor of microbiology and immunology at Weill Cornell Medicine.\u003c/p>\n\u003cp>“But its ability to infect fully vaccinated people is much less than those who are not vaccinated,” he said. “In other words, the vaccines still work, just a bit less well.”\u003c/p>\n\u003cp>Saad Omer of Yale put it this way: Previously you might have thought your vaccination as “providing a bit of a force field, but that’s not the case anymore,” he said. “It’s still pretty strong armor. But it’s penetrable armor.”\u003c/p>\n\u003cp>Epidemiologist Martin said that although it’s concerning to see places — \u003ca href=\"https://urldefense.com/v3/__https://laist.com/news/health/delta-variant-surges-in-la-and-more-vaccinated-people-are-testing-positive__;!!Iwwt!Db5WcrJRUlbSqsSOZOuoLn7Xxou_h8bBeHw1bv79bbUcYw43KIx_NygYqsxJdgtEXQ%24\" target=\"_blank\" rel=\"noopener noreferrer\">like LA county\u003c/a> — where a growing portion of positive tests are in vaccinated people, that’s not the metric she’s tracking to see if the delta is evading the vaccines.\u003c/p>\n\u003cp>Rather, she said, “I’m looking for an indication that a higher percentage of vaccinated people are getting infected than previously.”\u003c/p>\n\u003cp>She and other public health experts are watching for that carefully.\u003c/p>\n\u003cp>\u003cem>Unvaccinated Californians can go to \u003ca title=\"myturn.ca.gov\" href=\"https://myturn.ca.gov/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"6\">myturn.ca.gov\u003c/a> or call (833) 422-4255 to schedule their appointment or go to \u003ca title=\"myturn.ca.gov/clinic\" href=\"https://myturn.ca.gov/clinic.html\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"7\">myturn.ca.gov/clinic\u003c/a> to find a walk-in clinic in their county.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>NPR’s Allison Aubrey contributed to this report.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+The+Latest+Science+Shows+About+Breakthrough+Cases&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated July 29, 10 a.m.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Please note that the science on the delta variant is changing fast, with new data consistently being reported. Check our latest coverage for the most updated information. \u003c/em>\u003c/p>\n\u003cp>New data on the delta variant is coming in, and it’s not looking good. The currently authorized vaccines are still very protective, especially against hospitalization and death. But when it comes to getting an asymptomatic or mild case of COVID, they may not be quite as protective as they were against earlier strains.\u003c/p>\n\u003cp>And, here’s the part that really could change your day-to-day life: It seems vaccinated people who get breakthrough infections may be able to transmit the virus, according to the director of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky.\u003c/p>\n\u003cp>“On rare occasions, some vaccinated people infected with the delta variant after vaccination may be contagious and spread the virus to others,” she \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/27/1021206558/cdc-expected-to-change-mask-guidance-for-vaccinated-people-including-in-schools\" target=\"_blank\" rel=\"noopener noreferrer\">told reporters Tuesday\u003c/a>, citing unpublished CDC data from recent outbreak investigations. “This new science is worrisome.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That led the CDC to advise that even if people are fully vaccinated, they should \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html\" target=\"_blank\" rel=\"noopener noreferrer\">wear masks indoors\u003c/a> if \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/28/1021795290/cdc-mask-guidelines-indoors-vaccinated-by-county-covid-spread\" target=\"_blank\" rel=\"noopener noreferrer\">they live in a place\u003c/a> with “substantial” or “high” levels of coronavirus transmission.\u003c/p>\n\u003cp>Still, people who’ve been vaccinated may rightly be asking: Are breakthrough cases becoming more common because of the delta variant? Could I get sick or get a family member sick?\u003c/p>\n\u003cp>Here’s what to know about breakthrough cases in the context of the delta variant, and what scientists are doing to track the vaccines’ efficacy.\u003c/p>\n\u003ch3>You Can Get COVID-19 Even if You’re Vaccinated, but It’s Rare and Likely to Be Mild\u003c/h3>\n\u003cp>Bottom line: Don’t panic. So far, research shows the current vaccines are holding up well against the delta variant. For instance, \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMoa2108891\" target=\"_blank\" rel=\"noopener noreferrer\">data from the U.K.\u003c/a> suggests the Pfizer vaccine is 88% effective at preventing symptomatic COVID-19 from the delta variant after two doses. And an earlier \u003ca href=\"https://www.gov.uk/government/news/vaccines-highly-effective-against-hospitalisation-from-delta-variant\" target=\"_blank\" rel=\"noopener noreferrer\">study from the U.K.\u003c/a> found that it is 96% effective against hospitalization.\u003c/p>\n\u003cp>If you do get infected (which is not likely but possible), the vaccine should help you keep from getting seriously sick. “Breakthrough infections, they tend to be mild — they tend to be more like a cold,” said \u003ca href=\"https://vaccines.emory.edu/faculty-evc/primary-faculty/delrio_carlos.html\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Carlos del Rio\u003c/a>, professor of medicine and infectious disease epidemiology at the Emory University School of Medicine.\u003c/p>\n\u003cp>Severe cases among vaccinated people are possible, but extremely rare — the vaccines dramatically reduce the risk of serious illness that leads to hospitalization or death. And 97% of those currently hospitalized with COVID-19 are unvaccinated, \u003ca href=\"https://www.npr.org/2021/07/16/1017002907/u-s-covid-deaths-are-rising-again-experts-call-it-a-pandemic-of-the-unvaccinated\" target=\"_blank\" rel=\"noopener noreferrer\">according to Walensky\u003c/a>.\u003c/p>\n\u003cp>For context, as of July 19, out of 159 million fully vaccinated people, the \u003ca href=\"https://www.cdc.gov/vaccines/covid-19/health-departments/breakthrough-cases.html\" target=\"_blank\" rel=\"noopener noreferrer\">CDC documented\u003c/a> 5,914 cases of fully vaccinated people who were hospitalized or died from COVID-19, and 75% of them were over age 65. It’s not clear how many of these breakthrough infections were caused by the delta variant, but that’s now by far \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#variant-proportions\" target=\"_blank\" rel=\"noopener noreferrer\">the dominant variant\u003c/a> in circulation.\u003c/p>\n\u003cp>The chances of getting seriously ill after being vaccinated are higher for those with \u003ca href=\"https://www.npr.org/sections/health-shots/2021/03/29/981767390/immunocompromised-and-concerned-about-the-vaccine-heres-what-you-need-to-know\" target=\"_blank\" rel=\"noopener noreferrer\">certain health conditions\u003c/a> that affect the immune system.\u003ca href=\"https://www.houstonmethodist.org/faculty/marc-boom/\" target=\"_blank\" rel=\"noopener noreferrer\"> Dr. Marc Boom,\u003c/a> president and CEO of Houston Methodist, said that at his hospital, 90% of the patients with COVID-19 are unvaccinated. The small percentage of vaccinated patients who do end up hospitalized, he said, “have underlying significant health risks — like cancer, like [organ] transplants — that probably prevented them from mounting a full immune response to the vaccine.”\u003c/p>\n\u003ch3>You May Be Able to Spread the Coronavirus if You Get a Breakthrough Infection\u003c/h3>\n\u003cp>Although health officials initially believed that it was unlikely people who got infected after being fully vaccinated could transmit the virus, new research suggests they can. Part of the reason, experts say, may be that the delta variant has been shown to \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/08/1013794996/why-the-delta-variant-is-so-contagious-a-new-study-sheds-light\" target=\"_blank\" rel=\"noopener noreferrer\">replicate quickly and copiously\u003c/a> in people it infects.\u003c/p>\n\u003cp>As Walensky explained Tuesday, CDC has conducted outbreak investigations, and analyzed the viral load in the people who got infected, breaking out the vaccinated from the unvaccinated. “When we examine the rarer breakthrough infections and we look at the amount of virus in those people, it is pretty similar to the amount of virus in unvaccinated people,” she said.\u003c/p>\n\u003cp>CDC is continuing to follow those breakthrough cases to understand whether this higher-than-expected viral load leads them to actually infect other people.\u003c/p>\n\u003cp>The viral load data was part of the reason CDC changed its masking guidelines for vaccinated people, Walensky said, but the agency has not yet released the data she described.\u003c/p>\n\u003cp>“CDC has been good about releasing data along with policy,” said \u003ca href=\"https://medicine.yale.edu/yigh/profile/saad_omer/\" target=\"_blank\" rel=\"noopener noreferrer\">Saad Omer\u003c/a>, director of the Yale Institute for Global Health. He’s hoping this data will be made public soon as well, so he and other infectious disease experts can look it through.\u003c/p>\n\u003ch3>A Small Study Suggests It Might Be Possible for Vaccinated People to Get Long COVID\u003c/h3>\n\u003cp>Until recently there was very little data to help answer the question of whether the vaccinated could get long-haul COVID after a breakthrough case. Some experts thought it was unlikely. But a \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa2109072\" target=\"_blank\" rel=\"noopener noreferrer\">new study from Israel\u003c/a> suggests there’s a chance vaccinated people may be at risk for \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects.html\" target=\"_blank\" rel=\"noopener noreferrer\">long COVID-19 symptoms\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/28/1021888033/breakthrough-infections-may-cause-long-covid-symptoms-small-study-suggests\" target=\"_blank\" rel=\"noopener noreferrer\">As NPR reported,\u003c/a> researchers at the Sheba Medical Center in Israel tracked nearly 1,500 vaccinated health care workers — among them, 39 people got sick with COVID, and of those, seven people had symptoms that lingered beyond six weeks.\u003c/p>\n\u003cp>Gili Regev-Yochay, who led the study, said these patients had symptoms like severe fatigue, loss of taste and smell, muscle pain and headaches.\u003c/p>\n\u003cp>“You could say these are mild symptoms, but disturbing enough that some of them didn’t even return to work,” she said.\u003c/p>\n\u003cp>It could be that this is a false alarm, and that these cases are even rarer than this study suggests, or that these symptoms do end up going away relatively quickly and don’t plague people for months like long COVID. Nevertheless, infectious disease experts described the findings as concerning.\u003c/p>\n\u003cp>“This study is the first to give us an indicator that we may be seeing long COVID even after vaccination, said \u003ca href=\"https://www.scripps.edu/faculty/topol/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Eric Topol,\u003c/a> a professor of molecular medicine at Scripps Research. “We had hoped that when you get vaccinated even if you did have a breakthrough infection, you would have enough of an immune response that would block this protracted symptom complex.”\u003c/p>\n\u003cp>Scientists stress more research is needed to understand this issue. In the meantime, “the safest thing to do is to avoid being infected altogether,” says virologist \u003ca href=\"https://angelarasmussen.org/about\" target=\"_blank\" rel=\"noopener noreferrer\">Angela Rasmussen\u003c/a> of the Vaccine and Infectious Disease Organization at the University of Saskatchewan in Canada.\u003c/p>\n\u003cp>That might mean — in addition to vaccination — breaking out masks again, re-upping good hand hygiene and getting more air circulating when gathering indoors.\u003c/p>\n\u003cp>“The mitigation measures that we have put in place previously will still work against the delta variant — it’s not being transmitted by some other route,” Rasmussen added.\u003c/p>\n\u003ch3>CDC Doesn’t Track All Breakthroughs, but It’s Using Modeling to Estimate the Risk\u003c/h3>\n\u003cp>There’s no exact number of breakthrough cases nationally. It would be difficult to count the asymptomatic breakthrough cases because the U.S. isn’t testing nearly enough to catch them all. And in fact, the CDC stopped keeping a \u003ca href=\"https://www.npr.org/sections/health-shots/2021/05/27/1000933529/cdc-approach-to-breakthrough-infections-sparks-concerns\" target=\"_blank\" rel=\"noopener noreferrer\">running tally of mild breakthrough cases in May\u003c/a>.\u003c/p>\n\u003cp>But that’s not necessarily a problem, said \u003ca href=\"https://sph.umich.edu/faculty-profiles/martin-emily.html\" target=\"_blank\" rel=\"noopener noreferrer\">Emily Martin\u003c/a>, an epidemiology professor at the University of Michigan. “You don’t want to test everybody — you don’t need every positive to be identified,” she said. “You just need to understand how the positives that you’re finding represent the whole pie that you’re not seeing.”\u003c/p>\n\u003cp>The CDC runs carefully designed surveillance systems (which try to find pie slices that are representative) and does burden estimation (calculations you use to fill in the rest of the pie). It’s a process that’s already done every year with the flu, Martin said, to assess how well the flu shot is working when the vast majority of people who get the flu are never tested.\u003c/p>\n\u003cp>Now, the CDC is doing the same thing to monitor COVID-19. Hospitals and health departments are sending the CDC detailed information about certain cases of vaccinated patients who are hospitalized with COVID-19.\u003c/p>\n\u003cp>“We’d like to have a sample of the virus so that we can understand the viral load, so that we can sequence it, we can understand their symptoms and their risks that potentially put them in that situation,” the CDC’s Walensky told a \u003ca href=\"https://www.help.senate.gov/hearings/the-path-forward-a-federal-perspective-on-the-covid-19-response\" target=\"_blank\" rel=\"noopener noreferrer\">Senate panel \u003c/a>last week.\u003c/p>\n\u003cp>At the same time, the agency is doing ongoing \u003ca href=\"https://www.cdc.gov/vaccines/covid-19/effectiveness-research/protocols.html\" target=\"_blank\" rel=\"noopener noreferrer\">vaccine effectiveness studies\u003c/a> at long-term care facilities, academic medical centers, hospitals, and among health care and essential workers. “We’re doing many of those studies across the nation,” Walensky said, explaining that these allow the CDC to get an accurate picture of the real rate of breakthroughs among vaccinated people and whether that’s changing over time.\u003c/p>\n\u003cp>“That is a more systematic way of measuring breakthrough cases,” Martin said. Realistically, health officials can’t count every case, so this careful, long-term surveillance, along with calculations to extrapolate those findings, gives a fuller picture of how much virus is really out in the community.\u003c/p>\n\u003ch3>The Number of Breakthrough Cases is Growing, and That’s Expected\u003c/h3>\n\u003cp>There’s basic arithmetic at play: As more people get vaccinated, even if breakthroughs are rare, a rising number of cases will be among the vaccinated.\u003c/p>\n\u003cp>“Even with a 95% efficacious vaccine, you will have one in 20 vaccinees who are exposed get the disease,” said \u003ca href=\"https://www.medschool.umaryland.edu/profiles/Neuzil-Kathleen/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Kathleen Neuzil\u003c/a>, director of the Center for Vaccine Development and Global Health at the University of Maryland. The important thing to note is that “the overwhelming number [of cases] are among the unvaccinated,” she said.\u003c/p>\n\u003cp>Certainly, with the delta variant taking over — which spreads about \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/08/1013794996/why-the-delta-variant-is-so-contagious-a-new-study-sheds-light\" target=\"_blank\" rel=\"noopener noreferrer\">two to three times faster\u003c/a> than the original strain — there will be more cases among everyone, vaccinated and unvaccinated, said \u003ca href=\"https://vivo.weill.cornell.edu/display/cwid-jpm2003\" target=\"_blank\" rel=\"noopener noreferrer\">John Moore\u003c/a>, professor of microbiology and immunology at Weill Cornell Medicine.\u003c/p>\n\u003cp>“But its ability to infect fully vaccinated people is much less than those who are not vaccinated,” he said. “In other words, the vaccines still work, just a bit less well.”\u003c/p>\n\u003cp>Saad Omer of Yale put it this way: Previously you might have thought your vaccination as “providing a bit of a force field, but that’s not the case anymore,” he said. “It’s still pretty strong armor. But it’s penetrable armor.”\u003c/p>\n\u003cp>Epidemiologist Martin said that although it’s concerning to see places — \u003ca href=\"https://urldefense.com/v3/__https://laist.com/news/health/delta-variant-surges-in-la-and-more-vaccinated-people-are-testing-positive__;!!Iwwt!Db5WcrJRUlbSqsSOZOuoLn7Xxou_h8bBeHw1bv79bbUcYw43KIx_NygYqsxJdgtEXQ%24\" target=\"_blank\" rel=\"noopener noreferrer\">like LA county\u003c/a> — where a growing portion of positive tests are in vaccinated people, that’s not the metric she’s tracking to see if the delta is evading the vaccines.\u003c/p>\n\u003cp>Rather, she said, “I’m looking for an indication that a higher percentage of vaccinated people are getting infected than previously.”\u003c/p>\n\u003cp>She and other public health experts are watching for that carefully.\u003c/p>\n\u003cp>\u003cem>Unvaccinated Californians can go to \u003ca title=\"myturn.ca.gov\" href=\"https://myturn.ca.gov/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"6\">myturn.ca.gov\u003c/a> or call (833) 422-4255 to schedule their appointment or go to \u003ca title=\"myturn.ca.gov/clinic\" href=\"https://myturn.ca.gov/clinic.html\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"7\">myturn.ca.gov/clinic\u003c/a> to find a walk-in clinic in their county.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Allison Aubrey contributed to this report.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+The+Latest+Science+Shows+About+Breakthrough+Cases&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Once Again Recommends Everyone Mask Up Indoors",
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"content": "\u003cp>California health officials on Wednesday formally recommended that everyone resume wearing a face covering indoors, regardless of their vaccination status.\u003c/p>\n\u003cp>The recommendation comes one day after the Centers for Disease Control and Prevention \u003ca href=\"https://www.kqed.org/news/11882610/in-reversal-cdc-urges-vaccinated-people-to-wear-masks-indoors-in-areas-with-high-virus-transmission\">issued similar guidance\u003c/a> for people who live in areas with high COVID-19 transmission rates.\u003c/p>\n\u003cp>According to \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR21-234.aspx\">the California Department of Public Health\u003c/a>, more than 90% of the state's residents live in areas with \"substantial\" or \"high\" transmission of the virus. That ubiquity has been primarily driven by the highly contagious delta variant, which has brought a wave of new cases, predominantly among the unvaccinated.\u003c/p>\n\u003cp>Although COVID-19 rates are still far below where they were during the winter surge earlier this year, the number of new infections throughout California has \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">shot up\u003c/a> in recent weeks. Some 7,000 new cases are now being reported daily, up from a low of around 600 new cases in early June. And the seven-day test positivity rate is now nearly 6%, up from less than 1%.\u003c/p>\n\u003cp>\"The delta variant has caused a sharp increase in hospitalizations and case rates across the state,\" CDPH Director and state Public Health Officer Dr. Tomás Aragón said in a statement. \"We are recommending masking in indoor public places to slow the spread while we continue efforts to get more Californians vaccinated.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Public health officials in 10 of the 11 greater Bay Area counties — with the exception of Solano County — issued similar guidance over the last two weeks, urging residents to wear face coverings inside public places like grocery and retail stores, theaters and family entertainment centers.\u003c/p>\n\u003cp>Some jurisdictions, like San Mateo County, have taken the step of requiring masks indoors at county facilities like offices and clinics. And just over a week ago, Los Angeles County became the first county in California to \u003ca href=\"https://www.nytimes.com/2021/07/18/us/la-masks-covid.html\">reinstate an order\u003c/a> requiring that everyone wear masks indoors in public spaces.\u003c/p>\n\u003cp>The state also recently announced that students will be required to wear masks when they return to school next month, regardless of vaccination status.\u003c/p>\n\u003cp>In Santa Clara, Contra Costa and San Francisco counties, public health officials have urged employers to go a step further and require their employees to get vaccinated or be frequently tested for COVID-19.\u003c/p>\n\u003cp>Gov. Gavin Newsom also announced this week that \u003ca href=\"https://www.kqed.org/news/11882436/california-requiring-proof-of-vaccine-or-weekly-testing-for-health-workers-and-state-employees\">vaccinations or weekly tests\u003c/a> will be soon required for state employees and health care workers.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"delta-variant\"]State and local officials have so far shied away from instituting a full vaccination mandate, instead opting to work with community-based organizations to persuade eligible residents to get the shot, and repeatedly underscoring that the vaccines are safe and effective at preventing severe illness and death.\u003c/p>\n\u003cp>\"We're mindful that there are a lot of people that are still anxious, a lot of people that still need to work with doctors and private settings to work through those anxieties,\" Newsom said Tuesday.\u003c/p>\n\u003cp>The governor, who faces a recall election in September driven largely by criticism over his handling of the pandemic, has frequently argued that potential mask and vaccination mandates are not necessary as long as enough residents get inoculated.\u003c/p>\n\u003cp>More than 70% of Californians 12 and over are now at least partially vaccinated, a rate notably higher than in most other states. But the pace of vaccinations in the Golden State has slowed considerably in recent weeks, with millions of eligible residents still unprotected.\u003c/p>\n\u003cp>Unvaccinated Californians can go to \u003ca title=\"myturn.ca.gov\" href=\"https://myturn.ca.gov/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"6\">myturn.ca.gov\u003c/a> or call (833) 422-4255 to schedule their appointment or go to \u003ca title=\"myturn.ca.gov/clinic\" href=\"https://myturn.ca.gov/clinic.html\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"7\">myturn.ca.gov/clinic\u003c/a> to find a walk-in clinic in their county.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from KQED's Matthew Green and Eli Walsh from Bay City News. \u003c/em>\u003c/p>\n\n",
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"excerpt": "More than 90% of the Californians live in areas with \"substantial\" or \"high\" transmission of the virus, due primarily to the highly transmissible delta variant, according to state health officials.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California health officials on Wednesday formally recommended that everyone resume wearing a face covering indoors, regardless of their vaccination status.\u003c/p>\n\u003cp>The recommendation comes one day after the Centers for Disease Control and Prevention \u003ca href=\"https://www.kqed.org/news/11882610/in-reversal-cdc-urges-vaccinated-people-to-wear-masks-indoors-in-areas-with-high-virus-transmission\">issued similar guidance\u003c/a> for people who live in areas with high COVID-19 transmission rates.\u003c/p>\n\u003cp>According to \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR21-234.aspx\">the California Department of Public Health\u003c/a>, more than 90% of the state's residents live in areas with \"substantial\" or \"high\" transmission of the virus. That ubiquity has been primarily driven by the highly contagious delta variant, which has brought a wave of new cases, predominantly among the unvaccinated.\u003c/p>\n\u003cp>Although COVID-19 rates are still far below where they were during the winter surge earlier this year, the number of new infections throughout California has \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">shot up\u003c/a> in recent weeks. Some 7,000 new cases are now being reported daily, up from a low of around 600 new cases in early June. And the seven-day test positivity rate is now nearly 6%, up from less than 1%.\u003c/p>\n\u003cp>\"The delta variant has caused a sharp increase in hospitalizations and case rates across the state,\" CDPH Director and state Public Health Officer Dr. Tomás Aragón said in a statement. \"We are recommending masking in indoor public places to slow the spread while we continue efforts to get more Californians vaccinated.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Public health officials in 10 of the 11 greater Bay Area counties — with the exception of Solano County — issued similar guidance over the last two weeks, urging residents to wear face coverings inside public places like grocery and retail stores, theaters and family entertainment centers.\u003c/p>\n\u003cp>Some jurisdictions, like San Mateo County, have taken the step of requiring masks indoors at county facilities like offices and clinics. And just over a week ago, Los Angeles County became the first county in California to \u003ca href=\"https://www.nytimes.com/2021/07/18/us/la-masks-covid.html\">reinstate an order\u003c/a> requiring that everyone wear masks indoors in public spaces.\u003c/p>\n\u003cp>The state also recently announced that students will be required to wear masks when they return to school next month, regardless of vaccination status.\u003c/p>\n\u003cp>In Santa Clara, Contra Costa and San Francisco counties, public health officials have urged employers to go a step further and require their employees to get vaccinated or be frequently tested for COVID-19.\u003c/p>\n\u003cp>Gov. Gavin Newsom also announced this week that \u003ca href=\"https://www.kqed.org/news/11882436/california-requiring-proof-of-vaccine-or-weekly-testing-for-health-workers-and-state-employees\">vaccinations or weekly tests\u003c/a> will be soon required for state employees and health care workers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>State and local officials have so far shied away from instituting a full vaccination mandate, instead opting to work with community-based organizations to persuade eligible residents to get the shot, and repeatedly underscoring that the vaccines are safe and effective at preventing severe illness and death.\u003c/p>\n\u003cp>\"We're mindful that there are a lot of people that are still anxious, a lot of people that still need to work with doctors and private settings to work through those anxieties,\" Newsom said Tuesday.\u003c/p>\n\u003cp>The governor, who faces a recall election in September driven largely by criticism over his handling of the pandemic, has frequently argued that potential mask and vaccination mandates are not necessary as long as enough residents get inoculated.\u003c/p>\n\u003cp>More than 70% of Californians 12 and over are now at least partially vaccinated, a rate notably higher than in most other states. But the pace of vaccinations in the Golden State has slowed considerably in recent weeks, with millions of eligible residents still unprotected.\u003c/p>\n\u003cp>Unvaccinated Californians can go to \u003ca title=\"myturn.ca.gov\" href=\"https://myturn.ca.gov/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"6\">myturn.ca.gov\u003c/a> or call (833) 422-4255 to schedule their appointment or go to \u003ca title=\"myturn.ca.gov/clinic\" href=\"https://myturn.ca.gov/clinic.html\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"7\">myturn.ca.gov/clinic\u003c/a> to find a walk-in clinic in their county.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from KQED's Matthew Green and Eli Walsh from Bay City News. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Do You Need to Wear a Mask Indoors Where You Live? Check This Map",
"title": "Do You Need to Wear a Mask Indoors Where You Live? Check This Map",
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"content": "\u003cp>With the \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/22/1019475669/delta-variant-will-drive-a-steep-rise-in-covid-deaths-model-shows\">delta variant taking off\u003c/a> around the country, the federal government on Tuesday \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html\">updated its masking guidelines\u003c/a> for fully vaccinated people.\u003c/p>\n\u003cp>The new advice is to mask up indoors if you live in a place with \"substantial\" or \"high\" virus transmission. (The guidance for people who are unvaccinated remains the same: Always mask up indoors.)\u003c/p>\n\u003cp>So, what's the level of transmission where you live? Look up your county below.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://apps.npr.org/dailygraphics/graphics/covid-hotspot-20210728/?initialWidth=763&childId=responsive-embed-covid-hotspot-20210728&parentTitle=CDC%20Mask%20Guidance%20Made%20Easier%3A%20Check%20This%20County%20COVID%20Risk%20Map%20%3A%20Shots%20-%20Health%20News%20%3A%20NPR&parentUrl=https%3A%2F%2Fwww.npr.org%2Fsections%2Fhealth-shots%2F2021%2F07%2F28%2F1021795290%2Fcdc-mask-guidelines-indoors-vaccinated-by-county-covid-spread\" width=\"100%\" height=\"900\" scrolling=\"no\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>The change to the Centers for Disease Control and Prevention's masking guidelines came after \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/22/1019311989/public-health-experts-call-on-cdc-to-endorse-masking-indoors\">pressure from many outside experts\u003c/a>. CDC Director Dr. Rochelle Walensky said \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/27/1021206558/cdc-expected-to-change-mask-guidance-for-vaccinated-people-including-in-schools\">in a press briefing\u003c/a> that the change comes after new evidence showed delta was more transmissible than previously understood.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"This was not a decision that was taken lightly,\" Walensky said. She noted that new data from outbreak investigations show that, although only rarely, vaccinated people can still get infected and spread the virus to others.\u003c/p>\n\u003cp>\"On rare occasions, some vaccinated people infected with the delta variant after vaccination may be contagious and spread the virus to others,\" she told reporters when announcing the new guidelines. \"This new science is worrisome and, unfortunately, warrants an update to our recommendations.\"\u003c/p>\n\u003cp>The data for this map comes from the CDC and is updated regularly. The color-coding is based on two metrics: the number of new cases per 100,000 residents and the percent of coronavirus tests that come back positive in a seven-day period. (A \u003ca href=\"https://www.jhsph.edu/covid-19/articles/covid-19-testing-understanding-the-percent-positive.html\">high positivity rate\u003c/a> indicates that the number of infections in a place may be high, and that more testing needs to be done.)\u003c/p>\n\u003cp>If those two metrics show different levels of transmission in a given place, the CDC selects the higher level. Nearly two-thirds of counties in the country are currently experiencing substantial or high transmission as of late July. That includes 45 of California’s 58 counties, where about 96% of the state's nearly 40 million people live, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/california-covid-mask-guidelines/\">CalMatters reported\u003c/a>. On Wednesday, the California Department of Public Health recommended everyone in the state resume wearing masks again in indoor public settings.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"delta-variant\"]The CDC classifies a community as having \"substantial transmission\" if there are 50 to 99 weekly cases per 100,000 residents or if the positivity rate is between 8.0% and 9.9%.\u003c/p>\n\u003cp>If your county falls into this category, you should wear a mask indoors, whether or not you are vaccinated. The CDC also advises \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#county-view\">on its website\u003c/a> that \"everyday activities should be limited to reduce spread and protect the health care system.\"\u003c/p>\n\u003cp>A county has \"high transmission\" if it has anything over 100 weekly cases per 100,000 residents, or 10% or greater test positivity rate in the last seven days. In that case, communities should implement universal masking indoors and consider additional \"significant measures ... to limit contact between persons,\" according to the CDC's website.\u003c/p>\n\u003cp>Health experts say that the level of community transmission should not be the only factor to guide your decision on whether to wear a mask in public. \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/26/1020799661/coronavirus-faq-im-vaccinated-i-thought-i-could-give-up-masks-but-should-i\">There are other circumstances\u003c/a> in which vaccinated people might want to mask up: for instance, if you live with unvaccinated children or have immunocompromised family members, or if you're going somewhere without good ventilation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Walensky continues to emphasize the need for more people \u003ca href=\"http://vaccines.gov/\">to get vaccinated\u003c/a>, noting that the areas with the lowest vaccination rates are getting hit hardest by this recent wave. \"With the delta variant,\" she said, \"vaccinating more Americans now is more urgent than ever.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Do+You+Need+To+Wear+A+Mask+Indoors+Where+You+Live%3F+Check+This+Map&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With the \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/22/1019475669/delta-variant-will-drive-a-steep-rise-in-covid-deaths-model-shows\">delta variant taking off\u003c/a> around the country, the federal government on Tuesday \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html\">updated its masking guidelines\u003c/a> for fully vaccinated people.\u003c/p>\n\u003cp>The new advice is to mask up indoors if you live in a place with \"substantial\" or \"high\" virus transmission. (The guidance for people who are unvaccinated remains the same: Always mask up indoors.)\u003c/p>\n\u003cp>So, what's the level of transmission where you live? Look up your county below.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://apps.npr.org/dailygraphics/graphics/covid-hotspot-20210728/?initialWidth=763&childId=responsive-embed-covid-hotspot-20210728&parentTitle=CDC%20Mask%20Guidance%20Made%20Easier%3A%20Check%20This%20County%20COVID%20Risk%20Map%20%3A%20Shots%20-%20Health%20News%20%3A%20NPR&parentUrl=https%3A%2F%2Fwww.npr.org%2Fsections%2Fhealth-shots%2F2021%2F07%2F28%2F1021795290%2Fcdc-mask-guidelines-indoors-vaccinated-by-county-covid-spread\" width=\"100%\" height=\"900\" scrolling=\"no\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>The change to the Centers for Disease Control and Prevention's masking guidelines came after \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/22/1019311989/public-health-experts-call-on-cdc-to-endorse-masking-indoors\">pressure from many outside experts\u003c/a>. CDC Director Dr. Rochelle Walensky said \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/27/1021206558/cdc-expected-to-change-mask-guidance-for-vaccinated-people-including-in-schools\">in a press briefing\u003c/a> that the change comes after new evidence showed delta was more transmissible than previously understood.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This was not a decision that was taken lightly,\" Walensky said. She noted that new data from outbreak investigations show that, although only rarely, vaccinated people can still get infected and spread the virus to others.\u003c/p>\n\u003cp>\"On rare occasions, some vaccinated people infected with the delta variant after vaccination may be contagious and spread the virus to others,\" she told reporters when announcing the new guidelines. \"This new science is worrisome and, unfortunately, warrants an update to our recommendations.\"\u003c/p>\n\u003cp>The data for this map comes from the CDC and is updated regularly. The color-coding is based on two metrics: the number of new cases per 100,000 residents and the percent of coronavirus tests that come back positive in a seven-day period. (A \u003ca href=\"https://www.jhsph.edu/covid-19/articles/covid-19-testing-understanding-the-percent-positive.html\">high positivity rate\u003c/a> indicates that the number of infections in a place may be high, and that more testing needs to be done.)\u003c/p>\n\u003cp>If those two metrics show different levels of transmission in a given place, the CDC selects the higher level. Nearly two-thirds of counties in the country are currently experiencing substantial or high transmission as of late July. That includes 45 of California’s 58 counties, where about 96% of the state's nearly 40 million people live, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/california-covid-mask-guidelines/\">CalMatters reported\u003c/a>. On Wednesday, the California Department of Public Health recommended everyone in the state resume wearing masks again in indoor public settings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The CDC classifies a community as having \"substantial transmission\" if there are 50 to 99 weekly cases per 100,000 residents or if the positivity rate is between 8.0% and 9.9%.\u003c/p>\n\u003cp>If your county falls into this category, you should wear a mask indoors, whether or not you are vaccinated. The CDC also advises \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#county-view\">on its website\u003c/a> that \"everyday activities should be limited to reduce spread and protect the health care system.\"\u003c/p>\n\u003cp>A county has \"high transmission\" if it has anything over 100 weekly cases per 100,000 residents, or 10% or greater test positivity rate in the last seven days. In that case, communities should implement universal masking indoors and consider additional \"significant measures ... to limit contact between persons,\" according to the CDC's website.\u003c/p>\n\u003cp>Health experts say that the level of community transmission should not be the only factor to guide your decision on whether to wear a mask in public. \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/26/1020799661/coronavirus-faq-im-vaccinated-i-thought-i-could-give-up-masks-but-should-i\">There are other circumstances\u003c/a> in which vaccinated people might want to mask up: for instance, if you live with unvaccinated children or have immunocompromised family members, or if you're going somewhere without good ventilation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Walensky continues to emphasize the need for more people \u003ca href=\"http://vaccines.gov/\">to get vaccinated\u003c/a>, noting that the areas with the lowest vaccination rates are getting hit hardest by this recent wave. \"With the delta variant,\" she said, \"vaccinating more Americans now is more urgent than ever.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Do+You+Need+To+Wear+A+Mask+Indoors+Where+You+Live%3F+Check+This+Map&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The California State University system — which enrolls more than half a million undergraduate and graduate students — will require proof of COVID-19 vaccination for all faculty, staff and students returning to any of its 23 campuses this fall, school officials \u003ca href=\"https://www2.calstate.edu/csu-system/news/Pages/California-State-University-to-Implement-COVID-19-Vaccination-Requirement-for-Fall-2021-Term.aspx\">said Tuesday\u003c/a>.\u003c/p>\n\u003cp>CSU Chancellor Joseph Castro cited the rapid spread of the very contagious delta variant as a key driver behind the decision, calling the recent uptick in cases “an alarming new factor.”\u003c/p>\n\u003cp>“Receiving a COVID vaccine continues to be the best way to mitigate the spread of the virus,” Castro said in a statement. “We urge all members of the CSU community to get vaccinated as soon as possible, and announcing this requirement now allows members of the CSU community to receive multiple doses of a vaccine as we head into the beginning of the fall term.”\u003c/p>\n\u003cp>Vaccination deadlines will vary by campus, but all vaccination status certifications must be completed by Sept. 30, according to the announcement. Officials noted that vaccinations are available at multiple CSU campuses, and encouraged unvaccinated students and staff to contact their schools to determine options and availability.\u003c/p>\n\u003cp>Students and staff can also seek medical and religious exemptions, and virtual courses will be available for those who forgo vaccinations, officials said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>CSU officials said they plan to unveil their formal vaccination policy in the coming days.\u003c/p>\n\u003cp>“The goal of this announcement is really to get as many people vaccinated as possible so that we can have as many people on campus and so that we are all safe collectively,” said Michael Uhlenkamp, a CSU spokesperson. “We are planning to have the majority of courses and activities take place in person. I think for the majority of students, they are looking forward to being back on their respective campus in person in the fall, taking part in those robust opportunities to engage with their classmates, their professors, the staff there.”\u003c/p>\n\u003cp>Uhlenkamp also said each of the system’s campuses will follow local public health guidelines.\u003c/p>\n\u003cp>“The campuses are all prepared to be able to implement additional safety measures, whether that is masking or going back to distancing or even testing,” he said.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"delta-variant\"]The CSU announcement comes less than two weeks after the University of California rolled out a \u003ca href=\"https://www.sfchronicle.com/health/article/UC-reverses-course-will-require-all-students-and-16247884.php\">similar mandate \u003c/a>for its students and faculty, and a day after California officials \u003ca href=\"https://www.kqed.org/news/11882436/california-requiring-proof-of-vaccine-or-weekly-testing-for-health-workers-and-state-employees\">said vaccine and testing would be required\u003c/a> for state employees and health care workers.\u003c/p>\n\u003cp>CSU officials said they chose to issue the requirement before the vaccines are formally approved by the U.S. Food and Drug Administration “because of evolving circumstances.”\u003c/p>\n\u003cp>California is now reporting an \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">average daily case rate\u003c/a> of about 13 per 100,000 — or about 7,700 new cases a day — a marked uptick from a just month ago, although still significantly lower than during the winter surge. The delta variant accounted for vast majority of new cases, with unvaccinated people disproportionately impacted.\u003c/p>\n\u003cp>Catherine Hutchinson, president of the CSU Employees Union, said in a statement that she and other labor officials met with President Castro Tuesday morning, and fully support “all efforts, whether it be through the state or the CSU, to ensure vaccinations reach more Californians.”\u003c/p>\n\u003cp>And the California Faculty Association — which represents professors and lecturers at all CSU campuses — said its leaders will work with the chancellor’s office to ensure that students and staff are protected from the virus on campus.\u003c/p>\n\u003cp>“I am vaccinated, and I encourage faculty to get vaccinated if they can so that we all do our part to make the CSU a safe place to work,” CFA President Charles Toombs said in a statement.\u003c/p>\n\u003cp>Several CSU campuses have already communicated plans with students to verify vaccination status. Some, like Cal State Los Angeles, launched an online certification form earlier this week, asking students to provide verification documentation. It also includes options for those who have medical or religious exemptions.\u003c/p>\n\u003cp>Tabatha González Manzur, a student at CSU Los Angeles, said she felt a rush of relief on hearing the announcement. She still lives with people who are at high risk of contracting the virus, she said, and remembers the anxiety she felt during the first weeks of the pandemic when her classes were still in person.\u003c/p>\n\u003cp>“We are still in a pandemic and the variant is scary to deal with,” she said. Requiring proof of vaccination as thousands of her peers prepare to return to in-person learning, “will serve as peace of mind.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Rebecca Smith and Carlos Cabrera-Lomelí contributed reporting to this post. \u003c/em>\u003c/p>\n\n",
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"excerpt": "Tuesday's announcement from the the nation’s largest four-year public university system was prompted by the rise in delta variant infections in California. It follows a similar move by the University of California more than a week ago. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The California State University system — which enrolls more than half a million undergraduate and graduate students — will require proof of COVID-19 vaccination for all faculty, staff and students returning to any of its 23 campuses this fall, school officials \u003ca href=\"https://www2.calstate.edu/csu-system/news/Pages/California-State-University-to-Implement-COVID-19-Vaccination-Requirement-for-Fall-2021-Term.aspx\">said Tuesday\u003c/a>.\u003c/p>\n\u003cp>CSU Chancellor Joseph Castro cited the rapid spread of the very contagious delta variant as a key driver behind the decision, calling the recent uptick in cases “an alarming new factor.”\u003c/p>\n\u003cp>“Receiving a COVID vaccine continues to be the best way to mitigate the spread of the virus,” Castro said in a statement. “We urge all members of the CSU community to get vaccinated as soon as possible, and announcing this requirement now allows members of the CSU community to receive multiple doses of a vaccine as we head into the beginning of the fall term.”\u003c/p>\n\u003cp>Vaccination deadlines will vary by campus, but all vaccination status certifications must be completed by Sept. 30, according to the announcement. Officials noted that vaccinations are available at multiple CSU campuses, and encouraged unvaccinated students and staff to contact their schools to determine options and availability.\u003c/p>\n\u003cp>Students and staff can also seek medical and religious exemptions, and virtual courses will be available for those who forgo vaccinations, officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>CSU officials said they plan to unveil their formal vaccination policy in the coming days.\u003c/p>\n\u003cp>“The goal of this announcement is really to get as many people vaccinated as possible so that we can have as many people on campus and so that we are all safe collectively,” said Michael Uhlenkamp, a CSU spokesperson. “We are planning to have the majority of courses and activities take place in person. I think for the majority of students, they are looking forward to being back on their respective campus in person in the fall, taking part in those robust opportunities to engage with their classmates, their professors, the staff there.”\u003c/p>\n\u003cp>Uhlenkamp also said each of the system’s campuses will follow local public health guidelines.\u003c/p>\n\u003cp>“The campuses are all prepared to be able to implement additional safety measures, whether that is masking or going back to distancing or even testing,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The CSU announcement comes less than two weeks after the University of California rolled out a \u003ca href=\"https://www.sfchronicle.com/health/article/UC-reverses-course-will-require-all-students-and-16247884.php\">similar mandate \u003c/a>for its students and faculty, and a day after California officials \u003ca href=\"https://www.kqed.org/news/11882436/california-requiring-proof-of-vaccine-or-weekly-testing-for-health-workers-and-state-employees\">said vaccine and testing would be required\u003c/a> for state employees and health care workers.\u003c/p>\n\u003cp>CSU officials said they chose to issue the requirement before the vaccines are formally approved by the U.S. Food and Drug Administration “because of evolving circumstances.”\u003c/p>\n\u003cp>California is now reporting an \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">average daily case rate\u003c/a> of about 13 per 100,000 — or about 7,700 new cases a day — a marked uptick from a just month ago, although still significantly lower than during the winter surge. The delta variant accounted for vast majority of new cases, with unvaccinated people disproportionately impacted.\u003c/p>\n\u003cp>Catherine Hutchinson, president of the CSU Employees Union, said in a statement that she and other labor officials met with President Castro Tuesday morning, and fully support “all efforts, whether it be through the state or the CSU, to ensure vaccinations reach more Californians.”\u003c/p>\n\u003cp>And the California Faculty Association — which represents professors and lecturers at all CSU campuses — said its leaders will work with the chancellor’s office to ensure that students and staff are protected from the virus on campus.\u003c/p>\n\u003cp>“I am vaccinated, and I encourage faculty to get vaccinated if they can so that we all do our part to make the CSU a safe place to work,” CFA President Charles Toombs said in a statement.\u003c/p>\n\u003cp>Several CSU campuses have already communicated plans with students to verify vaccination status. Some, like Cal State Los Angeles, launched an online certification form earlier this week, asking students to provide verification documentation. It also includes options for those who have medical or religious exemptions.\u003c/p>\n\u003cp>Tabatha González Manzur, a student at CSU Los Angeles, said she felt a rush of relief on hearing the announcement. She still lives with people who are at high risk of contracting the virus, she said, and remembers the anxiety she felt during the first weeks of the pandemic when her classes were still in person.\u003c/p>\n\u003cp>“We are still in a pandemic and the variant is scary to deal with,” she said. Requiring proof of vaccination as thousands of her peers prepare to return to in-person learning, “will serve as peace of mind.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Rebecca Smith and Carlos Cabrera-Lomelí contributed reporting to this post. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/thechoice_072721_final.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11882669\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/thechoice_072721_final.png\" alt='A Mark Fiore cartoon titled, \"The Choice\" that shows rising vaccinations on the left side while the right side shows rising hospitalizations, testing, deaths, masks forever and a plummeting economy.' width=\"1920\" height=\"1256\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-800x523.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-1020x667.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-1536x1005.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>Requiring proof of vaccine is becoming more commonplace. On Monday, Gov. Gavin Newsom announced state employees and health care workers \u003ca href=\"https://bit.ly/fioreCAvaccineproof\">must be vaccinated\u003c/a> or tested weekly for COVID-19.\u003c/p>\n\u003cp>As the delta variant runs rampant among the unvaccinated, it’s about time cities, counties and \u003ca href=\"https://www.kqed.org/news/11882487/carded-sf-bar-group-to-require-proof-of-covid-vaccination-or-negative-test-result-to-drink-indoors\">even bars\u003c/a> require proof of vaccine.\u003c/p>\n\u003cp>We need to do all we can to encourage — and, yes, mandate — that as many people as possible get vaccinated.\u003c/p>\n\u003cp>People who are standing up for bogus Fox News-style “freedom,” or who just haven’t quite gotten around to getting their shot, are endangering their own lives, the lives of people with medical conditions who can’t get the vaccine and the lives of all children under 12 years old.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/thechoice_072721_final.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11882669\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/thechoice_072721_final.png\" alt='A Mark Fiore cartoon titled, \"The Choice\" that shows rising vaccinations on the left side while the right side shows rising hospitalizations, testing, deaths, masks forever and a plummeting economy.' width=\"1920\" height=\"1256\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-800x523.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-1020x667.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/thechoice_072721_final-1536x1005.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>Requiring proof of vaccine is becoming more commonplace. On Monday, Gov. Gavin Newsom announced state employees and health care workers \u003ca href=\"https://bit.ly/fioreCAvaccineproof\">must be vaccinated\u003c/a> or tested weekly for COVID-19.\u003c/p>\n\u003cp>As the delta variant runs rampant among the unvaccinated, it’s about time cities, counties and \u003ca href=\"https://www.kqed.org/news/11882487/carded-sf-bar-group-to-require-proof-of-covid-vaccination-or-negative-test-result-to-drink-indoors\">even bars\u003c/a> require proof of vaccine.\u003c/p>\n\u003cp>We need to do all we can to encourage — and, yes, mandate — that as many people as possible get vaccinated.\u003c/p>\n\u003cp>People who are standing up for bogus Fox News-style “freedom,” or who just haven’t quite gotten around to getting their shot, are endangering their own lives, the lives of people with medical conditions who can’t get the vaccine and the lives of all children under 12 years old.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Centers for Disease Control and Prevention reversed course Tuesday on some masking guidelines, recommending that even vaccinated people return to wearing masks indoors in parts of the U.S. where the coronavirus is surging.\u003c/p>\n\u003cp>Citing new information about the ability of the delta variant to spread among vaccinated people, the CDC also recommended indoor masks for all teachers, staff, students and visitors to schools, regardless of vaccination status.\u003c/p>\n\u003cp>The new guidance follows recent decisions in Los Angeles and St. Louis to revert to indoor mask mandates amid a spike in COVID-19 cases and hospitalizations across the nation, particularly in the South.\u003c/p>\n\u003cp>This comes two weeks after health officials in seven Bay Area counties made their own announcement, urging all residents, regardless of vaccination status, to again wear masks in public indoor spaces amid a recent sharp uptick in new COVID-19 cases fueled by the highly contagious delta variant.\u003c/p>\n\u003cp>The country is averaging more than 57,000 cases a day and 24,000 COVID-19 hospitalizations.\u003c/p>\n\u003cp>Most new infections in the U.S. continue to be among unvaccinated people. But “breakthrough” infections, which generally cause milder illness, can occur in vaccinated people. When earlier strains of the virus predominated, infected vaccinated people were found to have low levels of virus and were deemed unlikely to spread the virus much, CDC Director Dr. Rochelle Walensky said.\u003c/p>\n\u003cp>But with the delta variant, the level of virus in infected vaccinated people is “indistinguishable” from the level of virus in the noses and throats of unvaccinated people, Walensky said.\u003c/p>\n\u003cp>The data emerged over the last couple of days from 100 samples. It is unpublished, and the CDC has not released it. But “it is concerning enough that we feel like we have to act,” Walensky said.\u003c/p>\n\u003cp>Vaccinated people “have the potential to spread that virus to others,” she said.\u003c/p>\n\u003cp>For much of the pandemic, the CDC advised Americans to wear masks outdoors if they were within 6 feet of one another.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Ali Khan, University of Nebraska College of Public Health\"]‘If all the unvaccinated people were responsible and wore mask indoors, we would not be seeing this surge.’[/pullquote]Then in April, as vaccination rates rose sharply, the agency eased its guidelines on the wearing of masks outdoors, saying that fully vaccinated Americans no longer needed to cover their faces unless they were in a big crowd of strangers. In May, the guidance was eased further for fully vaccinated people, allowing them to stop wearing masks outdoors in crowds and in most indoor settings.\u003c/p>\n\u003cp>The guidance still called for wearing masks in crowded indoor settings, like buses, planes, hospitals, prisons and homeless shelters, but it cleared the way for reopening workplaces and other venues.\u003c/p>\n\u003cp>Subsequent CDC guidance said fully vaccinated people no longer needed to wear masks at summer camps or at schools, either.\u003c/p>\n\u003cp>For months, COVID cases, deaths and hospitalizations were falling steadily, but those trends began to change at the beginning of the summer as the delta variant, a mutated and more transmissible version of the virus, began to spread widely, especially in areas with lower vaccination rates.\u003c/p>\n\u003cp>White House press secretary Jen Psaki said the delta variant has changed the nation’s COVID-19 outlook since the the CDC relaxed masking recommendations.\u003c/p>\n\u003cp>“That is their job. Their job is to look at evolving information, evolving data, an evolving historic pandemic and provide guidance to the American public,” Psaki said.\u003c/p>\n\u003cp>“What has not changed,” she added, “is the fact that people who are vaccinated have a huge deal of protection from serious illness, from hospitalization and from death.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Ken Thigpen, retired respiratory therapist\"]‘I loved it when I could call the hospitals and they said, ‘We actually closed our COVID ward today or we are down to two COVID patients … and now we are opening the wards back up.’[/pullquote]Some public health experts said they thought the earlier CDC decision was based on good science, which indicated that the risk of vaccinated people spreading the virus was relatively low and that the risk of them catching the virus and becoming extremely ill was even lower.\u003c/p>\n\u003cp>But those experts were also critical, noting that there was no call for Americans to document their vaccination status, which created an honor system. Unvaccinated people who did not want to wear masks in the first place saw it as an opportunity to do what they wanted, they said.\u003c/p>\n\u003cp>“If all the unvaccinated people were responsible and wore mask indoors, we would not be seeing this surge,” said Dr. Ali Khan, a former CDC disease investigator who now is dean of the University of Nebraska’s College of Public Health.\u003c/p>\n\u003cp>Lawrence Gostin, a public health law professor at Georgetown University, drew a similar conclusion.\u003c/p>\n\u003cp>“It was completely foreseeable that when they (the CDC) made their announcement, masking would no longer be the norm, and that’s exactly what’s happened,” Gostin said.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='coronavirus']The CDC may be seen as “flip-flopping,” he said, because there’s been no widely recognized change in the science. Furthermore, it’s not likely to change the behavior of the people who most need to wear masks.\u003c/p>\n\u003cp>“I don’t think you can effectively walk that back,” Gostin said.\u003c/p>\n\u003cp>Ken Thigpen, a retired respiratory therapist who now works for a medical device manufacturer, is fully vaccinated and stopped wearing his mask in public after the CDC changed its guidance in May. But he started to reconsider in the last week after his job took him to hospitals in Mississippi, Louisiana, Alabama and Florida, where he witnessed medical centers getting inundated with COVID-19 patients.\u003c/p>\n\u003cp>“That delta variant is intense. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention reversed course Tuesday on some masking guidelines, recommending that even vaccinated people return to wearing masks indoors in parts of the U.S. where the coronavirus is surging.\u003c/p>\n\u003cp>Citing new information about the ability of the delta variant to spread among vaccinated people, the CDC also recommended indoor masks for all teachers, staff, students and visitors to schools, regardless of vaccination status.\u003c/p>\n\u003cp>The new guidance follows recent decisions in Los Angeles and St. Louis to revert to indoor mask mandates amid a spike in COVID-19 cases and hospitalizations across the nation, particularly in the South.\u003c/p>\n\u003cp>This comes two weeks after health officials in seven Bay Area counties made their own announcement, urging all residents, regardless of vaccination status, to again wear masks in public indoor spaces amid a recent sharp uptick in new COVID-19 cases fueled by the highly contagious delta variant.\u003c/p>\n\u003cp>The country is averaging more than 57,000 cases a day and 24,000 COVID-19 hospitalizations.\u003c/p>\n\u003cp>Most new infections in the U.S. continue to be among unvaccinated people. But “breakthrough” infections, which generally cause milder illness, can occur in vaccinated people. When earlier strains of the virus predominated, infected vaccinated people were found to have low levels of virus and were deemed unlikely to spread the virus much, CDC Director Dr. Rochelle Walensky said.\u003c/p>\n\u003cp>But with the delta variant, the level of virus in infected vaccinated people is “indistinguishable” from the level of virus in the noses and throats of unvaccinated people, Walensky said.\u003c/p>\n\u003cp>The data emerged over the last couple of days from 100 samples. It is unpublished, and the CDC has not released it. But “it is concerning enough that we feel like we have to act,” Walensky said.\u003c/p>\n\u003cp>Vaccinated people “have the potential to spread that virus to others,” she said.\u003c/p>\n\u003cp>For much of the pandemic, the CDC advised Americans to wear masks outdoors if they were within 6 feet of one another.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Then in April, as vaccination rates rose sharply, the agency eased its guidelines on the wearing of masks outdoors, saying that fully vaccinated Americans no longer needed to cover their faces unless they were in a big crowd of strangers. In May, the guidance was eased further for fully vaccinated people, allowing them to stop wearing masks outdoors in crowds and in most indoor settings.\u003c/p>\n\u003cp>The guidance still called for wearing masks in crowded indoor settings, like buses, planes, hospitals, prisons and homeless shelters, but it cleared the way for reopening workplaces and other venues.\u003c/p>\n\u003cp>Subsequent CDC guidance said fully vaccinated people no longer needed to wear masks at summer camps or at schools, either.\u003c/p>\n\u003cp>For months, COVID cases, deaths and hospitalizations were falling steadily, but those trends began to change at the beginning of the summer as the delta variant, a mutated and more transmissible version of the virus, began to spread widely, especially in areas with lower vaccination rates.\u003c/p>\n\u003cp>White House press secretary Jen Psaki said the delta variant has changed the nation’s COVID-19 outlook since the the CDC relaxed masking recommendations.\u003c/p>\n\u003cp>“That is their job. Their job is to look at evolving information, evolving data, an evolving historic pandemic and provide guidance to the American public,” Psaki said.\u003c/p>\n\u003cp>“What has not changed,” she added, “is the fact that people who are vaccinated have a huge deal of protection from serious illness, from hospitalization and from death.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some public health experts said they thought the earlier CDC decision was based on good science, which indicated that the risk of vaccinated people spreading the virus was relatively low and that the risk of them catching the virus and becoming extremely ill was even lower.\u003c/p>\n\u003cp>But those experts were also critical, noting that there was no call for Americans to document their vaccination status, which created an honor system. Unvaccinated people who did not want to wear masks in the first place saw it as an opportunity to do what they wanted, they said.\u003c/p>\n\u003cp>“If all the unvaccinated people were responsible and wore mask indoors, we would not be seeing this surge,” said Dr. Ali Khan, a former CDC disease investigator who now is dean of the University of Nebraska’s College of Public Health.\u003c/p>\n\u003cp>Lawrence Gostin, a public health law professor at Georgetown University, drew a similar conclusion.\u003c/p>\n\u003cp>“It was completely foreseeable that when they (the CDC) made their announcement, masking would no longer be the norm, and that’s exactly what’s happened,” Gostin said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A group representing more than 300 San Francisco bars on Monday announced a new policy requiring patrons to show proof of COVID-19 vaccination or a 72-hour negative test for indoor service.\u003c/p>\n\u003cp>The San Francisco Bar Owner Alliance said the new rule, which goes into effect Thursday, is in response to concerns about a steady uptick in COVID-19 cases among its staff members and the general public, as the delta variant takes hold.\u003c/p>\n\u003cp>“We believe we are obligated to protect our workers and their families and to offer a safe space for customers to relax and socialize,” the group said in a statement. “The decision is based solely on our need to protect our workers, customers and their families. However, we hope it might also influence some who have not yet received vaccinations to do so as soon as they are able.”\u003c/p>\n\u003cp>Enforcement of the new mandate will be up to each bar individually, SF Bar Owner Alliance founder Ben Bleiman said on Twitter. Customers who can’t provide verification of vaccination or a negative test can still be served outdoors.\u003c/p>\n\u003cp>“We understand that the only way our society (and our businesses) can ever return to true normalcy is through higher rates of vaccinations among our residents, not just in San Francisco but across the United States of America,” the group said.\u003c/p>\n\u003cp>https://twitter.com/ben_blei/status/1419740621552578560\u003c/p>\n\u003cp>San Francisco Mayor London Breed called the “move a responsible decision.”\u003c/p>\n\u003cp>“We need everyone to get vaccinated, especially as the delta variant continues to spread,” she said in a statement. “It’s how we can keep our city and our residents safe.”\u003c/p>\n\u003cp>Over the last month, the city has seen a significant rise in daily average COVID-19 case rates, with the San Francisco Department of Public Health reporting an average of 118 new daily cases last week, compared to a daily average of just 15 new cases a month ago.\u003c/p>\n\u003cp>In late June, San Francisco officials announced plans to require its 35,000 city employees to get inoculated, get an exemption or lose their job.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"delta-variant\"]As of Monday, 76% of all San Francisco residents 12 and older have been completely vaccinated, according to health department data — among the highest rates in the state.\u003c/p>\n\u003cp>Word of the new San Francisco bar rule came just hours after California officials \u003ca href=\"https://www.kqed.org/news/11882436/california-requiring-proof-of-vaccine-or-weekly-testing-for-health-workers-and-state-employees\">announced plans\u003c/a> to soon start requiring millions of health care workers and state employees to show proof of a COVID-19 vaccination or get tested weekly.\u003c/p>\n\u003cp>The new state rule, to begin early next month, will apply to an estimated 246,000 state employees and at least 2 million health care workers and long-term care workers in the public and private sectors, according to Gov. Gavin Newsom.\u003c/p>\n\u003cp>While about 62% of all eligible Californians are fully vaccinated, the state has struggled in recent weeks to make significant progress. Infections and hospitalizations are rising, with the delta variant now making up an estimated 80% of cases in California, though the growing numbers are still far below the winter peak.\u003c/p>\n\u003cp>“An individual’s choice not to get vaccinated is now impacting the rest of us in a profound and devastating and deadly way,” Newsom said, making clear that he wants the private sector to follow his lead.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>The governor has been hesitant to reimpose requirements on mask-wearing or social distancing since allowing the state to reopen on June 15. The vaccinate-or-test requirement comes as Newsom faces a recall election in September that’s largely over his handling of the pandemic.\u003c/p>\n\u003cp>\u003cem>The post includes reporting from Bay City News and The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A group representing more than 300 San Francisco bars on Monday announced a new policy requiring patrons to show proof of COVID-19 vaccination or a 72-hour negative test for indoor service.\u003c/p>\n\u003cp>The San Francisco Bar Owner Alliance said the new rule, which goes into effect Thursday, is in response to concerns about a steady uptick in COVID-19 cases among its staff members and the general public, as the delta variant takes hold.\u003c/p>\n\u003cp>“We believe we are obligated to protect our workers and their families and to offer a safe space for customers to relax and socialize,” the group said in a statement. “The decision is based solely on our need to protect our workers, customers and their families. However, we hope it might also influence some who have not yet received vaccinations to do so as soon as they are able.”\u003c/p>\n\u003cp>Enforcement of the new mandate will be up to each bar individually, SF Bar Owner Alliance founder Ben Bleiman said on Twitter. Customers who can’t provide verification of vaccination or a negative test can still be served outdoors.\u003c/p>\n\u003cp>“We understand that the only way our society (and our businesses) can ever return to true normalcy is through higher rates of vaccinations among our residents, not just in San Francisco but across the United States of America,” the group said.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>As of Monday, 76% of all San Francisco residents 12 and older have been completely vaccinated, according to health department data — among the highest rates in the state.\u003c/p>\n\u003cp>Word of the new San Francisco bar rule came just hours after California officials \u003ca href=\"https://www.kqed.org/news/11882436/california-requiring-proof-of-vaccine-or-weekly-testing-for-health-workers-and-state-employees\">announced plans\u003c/a> to soon start requiring millions of health care workers and state employees to show proof of a COVID-19 vaccination or get tested weekly.\u003c/p>\n\u003cp>The new state rule, to begin early next month, will apply to an estimated 246,000 state employees and at least 2 million health care workers and long-term care workers in the public and private sectors, according to Gov. Gavin Newsom.\u003c/p>\n\u003cp>While about 62% of all eligible Californians are fully vaccinated, the state has struggled in recent weeks to make significant progress. Infections and hospitalizations are rising, with the delta variant now making up an estimated 80% of cases in California, though the growing numbers are still far below the winter peak.\u003c/p>\n\u003cp>“An individual’s choice not to get vaccinated is now impacting the rest of us in a profound and devastating and deadly way,” Newsom said, making clear that he wants the private sector to follow his lead.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>The current COVID-19 surge in the U.S. — fueled by the \u003ca href=\"https://www.npr.org/sections/goatsandsoda/2021/07/08/1013794996/why-the-delta-variant-is-so-contagious-a-new-study-sheds-light\">highly contagious delta variant\u003c/a> — will steadily accelerate through the summer and fall, peaking in mid-October, with daily deaths more than triple what they are now.\u003c/p>\n\u003cp>That's according to \u003ca href=\"https://covid19scenariomodelinghub.org/viz.html\">new projections\u003c/a> released Wednesday from the COVID-19 Scenario Modeling Hub, a consortium of researchers working in consultation with the Centers for Disease Control and Prevention to help the agency track the course of the pandemic.\u003c/p>\n\u003cp>It's a deflating prospect for parents looking ahead to the coming school year, employers planning to get people back to the workplace and everyone hoping that the days of big national surges were over. [aside tag=\"delta-variant\" label=\"more coverage\"]\u003c/p>\n\u003cp>\"What's going on in the country with the virus is matching our most pessimistic scenarios,\" says \u003ca href=\"https://sph.unc.edu/adv_profile/justin-lessler-phd/\">Justin Lessler\u003c/a>, an epidemiologist at the University of North Carolina who helps run the modeling hub. \"We might be seeing synergistic effects of people becoming less cautious in addition to the impacts of the delta variant.\u003c/p>\n\u003cp>\"I think it's a big call for caution,\" he adds.\u003c/p>\n\u003cp>The group's latest projections combine 10 mathematical models from various academic teams to create an \"ensemble\" projection. It offers four scenarios for its projections — varying based on what percent of the population gets vaccinated and how quickly the delta variant spreads.\u003c/p>\n\u003cp>In the most likely scenario, Lessler says, the U.S. reaches only 70% vaccination among eligible Americans, and the delta variant is 60% more transmissible.\u003c/p>\n\u003cp>In that scenario, at the peak in mid-October, there would be around 60,000 cases and around 850 deaths each day, Lessler says.\u003c/p>\n\u003cp>Each scenario also includes a range of how bad things could get — the very worst end of the range for the most likely scenario shows about 240,000 people getting infected and 4,000 people dying each day at the October peak, which would be almost as bad as last winter.\u003c/p>\n\u003cp>Lessler notes that there's a lot of uncertainty in these projections and that how things actually play out depends on lots of factors, including whether the vaccination campaign picks up steam and whether other mitigation measures are put back into place. [ad fullwidth]\u003c/p>\n\u003cp>\"Changes in behavior that we didn't predict and big shifts in vaccination could very much change these results,\" Lessler says.\u003c/p>\n\u003cp>But overall, the main projection shows a steady slope upwards to the peak in October, and then a steady slope back down.\u003c/p>\n\u003cp>\"By the time you get to October, these resurgent epidemics have burned through a lot of the people who are susceptible,\" Lessler explains.\u003c/p>\n\u003cp>At that point, \"herd immunity starts kicking in a little more aggressively and we start to see things going down again.\" By January 2022, the model shows deaths coming back down to around the current level of about 300 per day. [pullquote size='medium' align='right' citation='Justin Lessler, an epidemiologist at the University of North Carolina']'If we got enough people vaccinated, we could even stop the delta variant in its tracks.'[/pullquote]\u003c/p>\n\u003cp>The take-home message of this latest model is that the pandemic isn't over yet and \"we're not going to be able to land the plane without turbulence,\" says \u003ca href=\"https://www.hsph.harvard.edu/profile/william-p-hanage/\">William Hanage\u003c/a>, an epidemiologist at the Harvard T.H. Chan School of Public Health. \"How much turbulence will track with how many people are vaccinated in a given community.\"\u003c/p>\n\u003cp>\"I also strongly suspect that delta is highly prone to superspreading — if I am right, it might go off like a bomb in some undervaccinated communities,\" Hanage adds.\u003c/p>\n\u003cp>Public policy and behavior could still move the dial toward milder outcomes, Lessler says.\u003c/p>\n\u003cp>\"I think states should maybe be rethinking the speed at which they're removing mask mandates or social distancing,\" Lessler says. \"That is something that — if you want to keep cases under control — certainly would have an impact.\"\u003c/p>\n\u003cp>Those measures would have to come from state or local leaders. Despite calls for the \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/22/1019311989/public-health-experts-call-on-cdc-to-endorse-masking-indoors\">CDC to issue new mask guidelines\u003c/a>, at a briefing Thursday, CDC Director Dr. Rochelle Walensky once again held firm.\u003c/p>\n\u003cp>She emphasized that the guidelines have always said that unvaccinated people should wear masks indoors. She added that even vaccinated people could wear masks indoors, too, if they want extra protection, especially in places where the virus is surging and there are a lot of unvaccinated people. But her main message was the same: Get vaccinated.\u003c/p>\n\u003cp>With that, Lessler agrees. \"If we got enough people vaccinated, we could even stop the delta variant in its tracks,\" he says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Delta+Variant+Will+Drive+A+Steep+Rise+In+U.S.+COVID+Deaths%2C+A+New+Model+Shows&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"What's going on in the country with the virus is matching our most pessimistic scenarios,\" says \u003ca href=\"https://sph.unc.edu/adv_profile/justin-lessler-phd/\">Justin Lessler\u003c/a>, an epidemiologist at the University of North Carolina who helps run the modeling hub. \"We might be seeing synergistic effects of people becoming less cautious in addition to the impacts of the delta variant.\u003c/p>\n\u003cp>\"I think it's a big call for caution,\" he adds.\u003c/p>\n\u003cp>The group's latest projections combine 10 mathematical models from various academic teams to create an \"ensemble\" projection. It offers four scenarios for its projections — varying based on what percent of the population gets vaccinated and how quickly the delta variant spreads.\u003c/p>\n\u003cp>In the most likely scenario, Lessler says, the U.S. reaches only 70% vaccination among eligible Americans, and the delta variant is 60% more transmissible.\u003c/p>\n\u003cp>In that scenario, at the peak in mid-October, there would be around 60,000 cases and around 850 deaths each day, Lessler says.\u003c/p>\n\u003cp>Each scenario also includes a range of how bad things could get — the very worst end of the range for the most likely scenario shows about 240,000 people getting infected and 4,000 people dying each day at the October peak, which would be almost as bad as last winter.\u003c/p>\n\u003cp>Lessler notes that there's a lot of uncertainty in these projections and that how things actually play out depends on lots of factors, including whether the vaccination campaign picks up steam and whether other mitigation measures are put back into place. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Changes in behavior that we didn't predict and big shifts in vaccination could very much change these results,\" Lessler says.\u003c/p>\n\u003cp>But overall, the main projection shows a steady slope upwards to the peak in October, and then a steady slope back down.\u003c/p>\n\u003cp>\"By the time you get to October, these resurgent epidemics have burned through a lot of the people who are susceptible,\" Lessler explains.\u003c/p>\n\u003cp>At that point, \"herd immunity starts kicking in a little more aggressively and we start to see things going down again.\" By January 2022, the model shows deaths coming back down to around the current level of about 300 per day. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The take-home message of this latest model is that the pandemic isn't over yet and \"we're not going to be able to land the plane without turbulence,\" says \u003ca href=\"https://www.hsph.harvard.edu/profile/william-p-hanage/\">William Hanage\u003c/a>, an epidemiologist at the Harvard T.H. Chan School of Public Health. \"How much turbulence will track with how many people are vaccinated in a given community.\"\u003c/p>\n\u003cp>\"I also strongly suspect that delta is highly prone to superspreading — if I am right, it might go off like a bomb in some undervaccinated communities,\" Hanage adds.\u003c/p>\n\u003cp>Public policy and behavior could still move the dial toward milder outcomes, Lessler says.\u003c/p>\n\u003cp>\"I think states should maybe be rethinking the speed at which they're removing mask mandates or social distancing,\" Lessler says. \"That is something that — if you want to keep cases under control — certainly would have an impact.\"\u003c/p>\n\u003cp>Those measures would have to come from state or local leaders. Despite calls for the \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/22/1019311989/public-health-experts-call-on-cdc-to-endorse-masking-indoors\">CDC to issue new mask guidelines\u003c/a>, at a briefing Thursday, CDC Director Dr. Rochelle Walensky once again held firm.\u003c/p>\n\u003cp>She emphasized that the guidelines have always said that unvaccinated people should wear masks indoors. She added that even vaccinated people could wear masks indoors, too, if they want extra protection, especially in places where the virus is surging and there are a lot of unvaccinated people. But her main message was the same: Get vaccinated.\u003c/p>\n\u003cp>With that, Lessler agrees. \"If we got enough people vaccinated, we could even stop the delta variant in its tracks,\" he says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Delta+Variant+Will+Drive+A+Steep+Rise+In+U.S.+COVID+Deaths%2C+A+New+Model+Shows&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/employees_072321_final.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11882296\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/employees_072321_final.png\" alt='A Mark Fiore cartoon that looks like a workplace sign. The sign reads, \"Notice: all employees must get a lifesaving vaccine before returning to work!\" There is a smiling figure getting a shot on the sign as well.' width=\"1920\" height=\"1387\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/employees_072321_final.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/employees_072321_final-800x578.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/employees_072321_final-1020x737.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/employees_072321_final-160x116.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/employees_072321_final-1536x1110.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>Public health officials in three Bay Area counties are urging businesses to \u003ca href=\"https://bit.ly/fioreemployeevaccines\">require their employees be vaccinated\u003c/a>.\u003c/p>\n\u003cp>With the delta variant spreading, the city and county of San Francisco and UCSF informed all their workers that COVID-19 vaccines are mandatory.\u003c/p>\n\u003cp>Even though some labor unions and advocacy groups have chafed at the vaccine requirement, it makes sense to me.\u003c/p>\n\u003cp>After all, isn’t the idea to make the workplace (and society at large) as safe as possible?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/groundhogday_072121_final.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11881984\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/groundhogday_072121_final.png\" alt=\"A Mark Fiore cartoon showing a groundhog wearing a mask with people, some with masks, others carrying anti-vaccine signs and "don't tread on me" flags. A man wearing a face mask looks to another character and says, "too many anti-vaxxers mean at least 6 more weeks of masking."\" width=\"1920\" height=\"1263\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-1536x1010.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>The COVID delta variant is spreading fast and many Bay Area counties are calling on people to mask up in public indoor spaces, even if they’re vaccinated.\u003c/p>\n\u003cp>\u003ca href=\"https://bit.ly/fioreremaskingdelta\">Here are some answers\u003c/a> to questions you may have.\u003c/p>\n\u003cp>The most maddening reason vaccinated people are being asked to re-mask is to help protect people who refuse to get inoculated.\u003c/p>\n\u003cp>If everyone wears face masks (again), then people who choose to remain unvaccinated will be protected from their own stupidity as the much more virulent delta variant spreads.\u003c/p>\n\u003cp>At least wearing masks will help protect children under 12, who are not yet eligible for COVID vaccines — and those very children were made more vulnerable by anti-vaxxer conspiracy theorists.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/groundhogday_072121_final.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11881984\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/groundhogday_072121_final.png\" alt=\"A Mark Fiore cartoon showing a groundhog wearing a mask with people, some with masks, others carrying anti-vaccine signs and "don't tread on me" flags. A man wearing a face mask looks to another character and says, "too many anti-vaxxers mean at least 6 more weeks of masking."\" width=\"1920\" height=\"1263\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final.png 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-800x526.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-1020x671.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-160x105.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/07/groundhogday_072121_final-1536x1010.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003c/p>\n\u003cp>The COVID delta variant is spreading fast and many Bay Area counties are calling on people to mask up in public indoor spaces, even if they’re vaccinated.\u003c/p>\n\u003cp>\u003ca href=\"https://bit.ly/fioreremaskingdelta\">Here are some answers\u003c/a> to questions you may have.\u003c/p>\n\u003cp>The most maddening reason vaccinated people are being asked to re-mask is to help protect people who refuse to get inoculated.\u003c/p>\n\u003cp>If everyone wears face masks (again), then people who choose to remain unvaccinated will be protected from their own stupidity as the much more virulent delta variant spreads.\u003c/p>\n\u003cp>At least wearing masks will help protect children under 12, who are not yet eligible for COVID vaccines — and those very children were made more vulnerable by anti-vaxxer conspiracy theorists.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "‘Focus on Getting the Unvaccinated Vaccinated’: UCSF’s Dr. Monica Gandhi on the Bay Area’s New Masking Recommendations",
"title": "‘Focus on Getting the Unvaccinated Vaccinated’: UCSF’s Dr. Monica Gandhi on the Bay Area’s New Masking Recommendations",
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"content": "\u003cp>Health officials in seven Bay Area counties on Friday\u003ca href=\"https://www.kqed.org/news/11881426/wear-masks-indoors-again-even-if-youre-vaccinated-urge-bay-area-health-officials\" target=\"_blank\" rel=\"noopener noreferrer\"> strongly urged all residents, regardless of vaccination status, to wear masks in public indoor spaces on Friday\u003c/a>. These counties are urging businesses to adopt masking requirements for all indoor customers.\u003c/p>\n\u003cp>Though coronavirus cases have steeply declined in the last six months across the country, they're now on the rise — likely due to \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/17/1017075240/delta-variant-is-spreading-fast-and-new-cases-are-rising-is-time-to-mask-up-agai\" target=\"_blank\" rel=\"noopener noreferrer\">the highly contagious delta variant\u003c/a>. The Centers for Disease Control and Prevention reported Friday that new cases were up by nearly 70% in just a week nationwide, with hospitalizations up by 36%. Statewide, new coronavirus cases saw a \u003ca href=\"https://www.mercurynews.com/2021/07/18/coronavirus-tracker-new-cases-in-california-total-23027-up-by-90-from-previous-week/\" target=\"_blank\" rel=\"noopener noreferrer\">90% increase from the previous week\u003c/a>, according to end-of-day totals on Friday. Many Bay Area counties are also seeing an \u003ca href=\"https://www.sfchronicle.com/projects/coronavirus-map/\" target=\"_blank\" rel=\"noopener noreferrer\">uptick\u003c/a> in cases. And in Contra Costa County, cases have more than doubled in recent weeks.\u003c/p>\n\u003cp>With all Bay Area counties except Napa and Solano issuing the recommendation to resume masking in public spaces indoors, KQED’s Tara Siler spoke with \u003ca href=\"https://cfar.ucsf.edu/people/monica-gandhi\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Monica Gandhi\u003c/a>, infectious disease expert and professor of medicine at UCSF, about the risks and rationale behind the recent announcement.\u003c/p>\n\u003cp>\u003cstrong>Tara Siler: Public health officials have said vaccines are very effective against contracting serious disease or death from COVID-19. Can you explain the reasoning behind recommending that vaccinated people wear masks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Monica Gandhi:\u003c/strong> This is actually not something that is being endorsed by the California Department of Public Health, nor does the CDC endorse the strategy because — we are really trying to stress as public health officials the effectiveness of the vaccines.\u003c/p>\n\u003cp>Likely, the county representatives were doing this because they wanted unvaccinated people to mask. And they likely thought that this would be a way to get everyone to mask. The worry that I have about that is, we don't want to message that these vaccines aren't effective by saying that vaccinated people have to mask. It's kind of a tricky public health messaging thing to do.\u003c/p>\n\u003cp>\u003cstrong>Do you think it's going to be confusing to people?\u003c/strong>\u003c/p>\n\u003cp>It is confusing. I've been watching the \u003ca href=\"https://www.pbs.org/newshour/health/watch-live-white-house-covid-task-force-holds-news-briefing-5\" target=\"_blank\" rel=\"noopener noreferrer\">White House task force briefings\u003c/a> very carefully — watching the messaging on masks. This has been brought up now in the last three task force briefings. [pullquote size=\"medium\" align=\"right\" citation=\"Dr. Monica Gandhi, infectious disease expert physician and professor of medicine, UCSF\"]'We're in a phase of this pandemic now that it's all about getting [the] unvaccinated vaccinated. I want us to think about public health messaging that strengthens what we know about the effectiveness of vaccines.'[/pullquote]\u003c/p>\n\u003cp>They're very clear that they really want to provide confidence in the effectiveness of the vaccines by not putting back masks for the vaccinated. They have a very clear strategy for the next phase of the U.S. pandemic response, which is focusing on areas with increasing hospitalizations and cases.\u003c/p>\n\u003cp>Our main focus is getting the unvaccinated vaccinated, and that is the national strategy. So we [in the Bay Area] are doing things a little bit different than that.\u003c/p>\n\u003cp>\u003cstrong>Do you think this is a good idea?\u003c/strong>\u003c/p>\n\u003cp>I am worried about the psychology of it on unvaccinated people. I also don't actually think you'll make that much of a difference in terms of cases because vaccinated people masking will not change the equation. We're in a phase of this pandemic now that it's all about getting [the] unvaccinated vaccinated. I want us to think about public health messaging that strengthens what we know about the effectiveness of vaccines.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>What about the idea that you can't identify who's vaccinated and who's not — will unvaccinated people wear a mask?\u003c/strong>\u003c/p>\n\u003cp>I think it has put a very difficult thing on businesses. It's a fair point that unvaccinated people may not be the ones that choose to mask. But I don't think this is going to change the equation. The people getting sick are not at risk from the vaccinated. They are at risk from the other unvaccinated people. And those [transmissions] aren't happening in public spaces at stores. It's happening in private gatherings, that's where these transmissions occur. And likely passing in the store is not giving an unvaccinated person the delta variant.\u003c/p>\n\u003cp>\u003cstrong>Many vaccinated people in the Bay Area have been masking all along, even with reopening and cases are rising. Do we know that the more contagious delta variant is behind most of these recent cases?\u003c/strong>\u003c/p>\n\u003cp>We don't know the answer to that question. Yes, many vaccinated people have been masking in the Bay Area. Cases are spread among the unvaccinated with the majority of our cases, hospitalizations and deaths across the United States being among the unvaccinated.\u003c/p>\n\u003cp>And it's why there's such a focus by the Biden administration on figuring out what it takes to message the community, to go door to door to help people get vaccinated. That's why I think it's unlikely to make a difference.\u003c/p>\n\u003cp>\u003cstrong>What do you think it's going to take to get more shots in arms?\u003c/strong>\u003c/p>\n\u003cp>Friday was an important White House task force briefing — which I really would encourage people to watch — because it was about disinformation and misinformation being propounded on the internet. Some of this misinformation is literally that the vaccines are dangerous. Misinformation has to be controlled.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=j2gbF3iGgr4\u003c/p>\n\u003cp>Second, we need to get FDA approval on these vaccines. You have to sign a consent form to get a vaccine under the current process — that can be a barrier to someone when they're wondering if it is experimental. [aside tag=\"vaccine, coronavirus\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Third is community-based messaging. That's what we're doing here in San Francisco. We have higher rates of the Latinx population being vaccinated than many other places, because of the \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11868894/latinos-urged-to-get-vaccine\" target=\"_blank\" rel=\"noopener noreferrer\">wonderful work that communities have done\u003c/a>.\u003c/p>\n\u003cp>Fourth is getting it into doctors' offices and having one-on-one conversations. I have changed seven people's minds in my own practice.\u003c/p>\n\u003cp>Then the final one, there are going to be mandates likely in some settings. San Francisco, for example, has mandated that \u003ca href=\"https://www.nytimes.com/2021/06/24/world/san-francisco-vaccine-mandate.html\" target=\"_blank\" rel=\"noopener noreferrer\">city of San Francisco employees get vaccinated\u003c/a> and those kinds of restricted and more selective mandates are going to be more and more part of the American landscape in the next couple of months.\u003c/p>\n\u003cp>\u003cem>This interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials in seven Bay Area counties on Friday\u003ca href=\"https://www.kqed.org/news/11881426/wear-masks-indoors-again-even-if-youre-vaccinated-urge-bay-area-health-officials\" target=\"_blank\" rel=\"noopener noreferrer\"> strongly urged all residents, regardless of vaccination status, to wear masks in public indoor spaces on Friday\u003c/a>. These counties are urging businesses to adopt masking requirements for all indoor customers.\u003c/p>\n\u003cp>Though coronavirus cases have steeply declined in the last six months across the country, they're now on the rise — likely due to \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/17/1017075240/delta-variant-is-spreading-fast-and-new-cases-are-rising-is-time-to-mask-up-agai\" target=\"_blank\" rel=\"noopener noreferrer\">the highly contagious delta variant\u003c/a>. The Centers for Disease Control and Prevention reported Friday that new cases were up by nearly 70% in just a week nationwide, with hospitalizations up by 36%. Statewide, new coronavirus cases saw a \u003ca href=\"https://www.mercurynews.com/2021/07/18/coronavirus-tracker-new-cases-in-california-total-23027-up-by-90-from-previous-week/\" target=\"_blank\" rel=\"noopener noreferrer\">90% increase from the previous week\u003c/a>, according to end-of-day totals on Friday. Many Bay Area counties are also seeing an \u003ca href=\"https://www.sfchronicle.com/projects/coronavirus-map/\" target=\"_blank\" rel=\"noopener noreferrer\">uptick\u003c/a> in cases. And in Contra Costa County, cases have more than doubled in recent weeks.\u003c/p>\n\u003cp>With all Bay Area counties except Napa and Solano issuing the recommendation to resume masking in public spaces indoors, KQED’s Tara Siler spoke with \u003ca href=\"https://cfar.ucsf.edu/people/monica-gandhi\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Monica Gandhi\u003c/a>, infectious disease expert and professor of medicine at UCSF, about the risks and rationale behind the recent announcement.\u003c/p>\n\u003cp>\u003cstrong>Tara Siler: Public health officials have said vaccines are very effective against contracting serious disease or death from COVID-19. Can you explain the reasoning behind recommending that vaccinated people wear masks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Dr. Monica Gandhi:\u003c/strong> This is actually not something that is being endorsed by the California Department of Public Health, nor does the CDC endorse the strategy because — we are really trying to stress as public health officials the effectiveness of the vaccines.\u003c/p>\n\u003cp>Likely, the county representatives were doing this because they wanted unvaccinated people to mask. And they likely thought that this would be a way to get everyone to mask. The worry that I have about that is, we don't want to message that these vaccines aren't effective by saying that vaccinated people have to mask. It's kind of a tricky public health messaging thing to do.\u003c/p>\n\u003cp>\u003cstrong>Do you think it's going to be confusing to people?\u003c/strong>\u003c/p>\n\u003cp>It is confusing. I've been watching the \u003ca href=\"https://www.pbs.org/newshour/health/watch-live-white-house-covid-task-force-holds-news-briefing-5\" target=\"_blank\" rel=\"noopener noreferrer\">White House task force briefings\u003c/a> very carefully — watching the messaging on masks. This has been brought up now in the last three task force briefings. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>What about the idea that you can't identify who's vaccinated and who's not — will unvaccinated people wear a mask?\u003c/strong>\u003c/p>\n\u003cp>I think it has put a very difficult thing on businesses. It's a fair point that unvaccinated people may not be the ones that choose to mask. But I don't think this is going to change the equation. The people getting sick are not at risk from the vaccinated. They are at risk from the other unvaccinated people. And those [transmissions] aren't happening in public spaces at stores. It's happening in private gatherings, that's where these transmissions occur. And likely passing in the store is not giving an unvaccinated person the delta variant.\u003c/p>\n\u003cp>\u003cstrong>Many vaccinated people in the Bay Area have been masking all along, even with reopening and cases are rising. Do we know that the more contagious delta variant is behind most of these recent cases?\u003c/strong>\u003c/p>\n\u003cp>We don't know the answer to that question. Yes, many vaccinated people have been masking in the Bay Area. Cases are spread among the unvaccinated with the majority of our cases, hospitalizations and deaths across the United States being among the unvaccinated.\u003c/p>\n\u003cp>And it's why there's such a focus by the Biden administration on figuring out what it takes to message the community, to go door to door to help people get vaccinated. That's why I think it's unlikely to make a difference.\u003c/p>\n\u003cp>\u003cstrong>What do you think it's going to take to get more shots in arms?\u003c/strong>\u003c/p>\n\u003cp>Friday was an important White House task force briefing — which I really would encourage people to watch — because it was about disinformation and misinformation being propounded on the internet. Some of this misinformation is literally that the vaccines are dangerous. Misinformation has to be controlled.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/j2gbF3iGgr4'\n title='//www.youtube.com/embed/j2gbF3iGgr4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Second, we need to get FDA approval on these vaccines. You have to sign a consent form to get a vaccine under the current process — that can be a barrier to someone when they're wondering if it is experimental. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Third is community-based messaging. That's what we're doing here in San Francisco. We have higher rates of the Latinx population being vaccinated than many other places, because of the \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11868894/latinos-urged-to-get-vaccine\" target=\"_blank\" rel=\"noopener noreferrer\">wonderful work that communities have done\u003c/a>.\u003c/p>\n\u003cp>Fourth is getting it into doctors' offices and having one-on-one conversations. I have changed seven people's minds in my own practice.\u003c/p>\n\u003cp>Then the final one, there are going to be mandates likely in some settings. San Francisco, for example, has mandated that \u003ca href=\"https://www.nytimes.com/2021/06/24/world/san-francisco-vaccine-mandate.html\" target=\"_blank\" rel=\"noopener noreferrer\">city of San Francisco employees get vaccinated\u003c/a> and those kinds of restricted and more selective mandates are going to be more and more part of the American landscape in the next couple of months.\u003c/p>\n\u003cp>\u003cem>This interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Bay Area Health Officials Urge Everyone to Wear Masks Indoors, Even if Vaccinated",
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"content": "\u003cp>Health officials in seven Bay Area counties — Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara and Sonoma — on Friday strongly urged all residents, regardless of vaccination status, to again wear masks in public indoor spaces amid a recent sharp uptick in new COVID-19 cases fueled by the highly contagious delta variant.\u003c/p>\n\u003cp>In a joint statement, officials noted that fully vaccinated people are \"well-protected from infections and serious illness due to known COVID-19 variants including Delta variants,\" but stressed that those who are unvaccinated are at serious risk. The new recommendation, they said, was intended to better ensure that unvaccinated people wear masks, and \"as an extra precautionary measure for all.\"\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"delta-variant\"]\"Out of an abundance of caution, people are recommended to wear masks indoors in settings like grocery or retail stores, theaters, and family entertainment centers, even if they are fully vaccinated as an added layer of protection for unvaccinated residents,\" the statement said. Officials also urged businesses to adopt universal masking requirements for their employees and customers in indoor areas.\u003c/p>\n\u003cp>\"After vaccination, masking is the next most powerful tool we have to protect ourselves and each other during this latest wave of infections,\" said Alameda County Health Officer Dr. Nicholas Moss in the statement, imploring unvaccinated people to get their shots immediately.\u003c/p>\n\u003cp>Although coronavirus rates are still much lower than they were earlier this year, new cases have jumped throughout the Bay Area and across California — and much of the country — almost exclusively among unvaccinated people.\u003c/p>\n\u003cp>There were more than 4,600 new cases \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">recorded in California\u003c/a> on Friday, the most since late February, although a far cry from the winter peak that saw an average of more than 40,000 per day. The state also reported a seven-day average of 5.4 new cases per 100,000 people, up from a low of 2 cases per 100,000 at the beginning of June, with hospitalizations now topping 2,000, their highest level since April.\u003c/p>\n\u003cp>\"We have been seeing case rates and hospitalization rates really going up,\" said Dr. Chris Farnitano, the health officer for Contra Costa County, where case rates have more than doubled in recent weeks. They started rising after the state relaxed business rules on June 15, he said, and then really shot up following the July 4 holiday weekend, with the delta variant responsible for a large majority of new infections.\u003c/p>\n\u003cp>\"It's almost exclusively in the unvaccinated population, but there are some vaccinated individuals who are still getting sick, although at much lower rates,\" he said. \"And so, to protect everyone, we're asking everyone to take this extra simple step to go back to wearing masks in indoor public settings to help reduce the spread of COVID.\"\u003c/p>\n\u003cp>In June, the more aggressive delta variant made up 43% of all specimens sequenced in California, health officials said, and is now responsible for 58% of new infections across the country, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\"We're looking at case rates that are 10 to 20 times higher in the individuals who are unvaccinated,\" Farnitano said. \"So it's really a pandemic of the unvaccinated at this point.\"\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>The new regional health recommendation comes a day after Los Angeles County officials announced that masks will again \u003ca href=\"https://www.kqed.org/news/11881334/la-county-brings-back-mask-mandate-indoors-even-if-youre-vaccinated\">be required in indoor public spaces \u003c/a>starting Sunday, regardless of vaccine status. It's the first county in California to reinstate that mandate since the state dropped it last month for vaccinated people.\u003c/p>\n\u003cp>Although Bay Area health officials stopped short of a full-on requirement, they said they would continue to monitor transmission rates, hospitalizations, deaths and increasing vaccination rates throughout the region in the coming weeks.\u003c/p>\n\u003cp>\"That requirement may still come,\" Farnitano said. \"We'd like to see what effect a strong recommendation may have.\"\u003c/p>\n\u003cp>The Bay Area has some of the highest vaccination rates in the state, but those rates have slowed considerably in recent months, with a significant portion of the adult population still unvaccinated and highly susceptible to the new variant.\u003c/p>\n\u003cp>That's the scenario in Contra Costa County, where over 80% of residents 12 and over have gotten at least one dose of the vaccine, Farnitano noted.\u003c/p>\n\u003cp>\"So overall, we're doing really well as a county, but we still have large pockets that have much lower vaccination rates,\" he said, pointing to cities in the eastern part of the county, like Antioch, Pittsburg and Oakley, where rates are roughly 30% lower, driven in large part by younger adults.\u003c/p>\n\u003cp>\"It's still a sizable population that hasn't been vaccinated yet and is not protected,\" he added. \"First we saw cases go up, then we saw hospitalizations go up. And sadly, we're likely to soon see deaths go up.\"\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials in seven Bay Area counties — Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara and Sonoma — on Friday strongly urged all residents, regardless of vaccination status, to again wear masks in public indoor spaces amid a recent sharp uptick in new COVID-19 cases fueled by the highly contagious delta variant.\u003c/p>\n\u003cp>In a joint statement, officials noted that fully vaccinated people are \"well-protected from infections and serious illness due to known COVID-19 variants including Delta variants,\" but stressed that those who are unvaccinated are at serious risk. The new recommendation, they said, was intended to better ensure that unvaccinated people wear masks, and \"as an extra precautionary measure for all.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\"Out of an abundance of caution, people are recommended to wear masks indoors in settings like grocery or retail stores, theaters, and family entertainment centers, even if they are fully vaccinated as an added layer of protection for unvaccinated residents,\" the statement said. Officials also urged businesses to adopt universal masking requirements for their employees and customers in indoor areas.\u003c/p>\n\u003cp>\"After vaccination, masking is the next most powerful tool we have to protect ourselves and each other during this latest wave of infections,\" said Alameda County Health Officer Dr. Nicholas Moss in the statement, imploring unvaccinated people to get their shots immediately.\u003c/p>\n\u003cp>Although coronavirus rates are still much lower than they were earlier this year, new cases have jumped throughout the Bay Area and across California — and much of the country — almost exclusively among unvaccinated people.\u003c/p>\n\u003cp>There were more than 4,600 new cases \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">recorded in California\u003c/a> on Friday, the most since late February, although a far cry from the winter peak that saw an average of more than 40,000 per day. The state also reported a seven-day average of 5.4 new cases per 100,000 people, up from a low of 2 cases per 100,000 at the beginning of June, with hospitalizations now topping 2,000, their highest level since April.\u003c/p>\n\u003cp>\"We have been seeing case rates and hospitalization rates really going up,\" said Dr. Chris Farnitano, the health officer for Contra Costa County, where case rates have more than doubled in recent weeks. They started rising after the state relaxed business rules on June 15, he said, and then really shot up following the July 4 holiday weekend, with the delta variant responsible for a large majority of new infections.\u003c/p>\n\u003cp>\"It's almost exclusively in the unvaccinated population, but there are some vaccinated individuals who are still getting sick, although at much lower rates,\" he said. \"And so, to protect everyone, we're asking everyone to take this extra simple step to go back to wearing masks in indoor public settings to help reduce the spread of COVID.\"\u003c/p>\n\u003cp>In June, the more aggressive delta variant made up 43% of all specimens sequenced in California, health officials said, and is now responsible for 58% of new infections across the country, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\"We're looking at case rates that are 10 to 20 times higher in the individuals who are unvaccinated,\" Farnitano said. \"So it's really a pandemic of the unvaccinated at this point.\"\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new regional health recommendation comes a day after Los Angeles County officials announced that masks will again \u003ca href=\"https://www.kqed.org/news/11881334/la-county-brings-back-mask-mandate-indoors-even-if-youre-vaccinated\">be required in indoor public spaces \u003c/a>starting Sunday, regardless of vaccine status. It's the first county in California to reinstate that mandate since the state dropped it last month for vaccinated people.\u003c/p>\n\u003cp>Although Bay Area health officials stopped short of a full-on requirement, they said they would continue to monitor transmission rates, hospitalizations, deaths and increasing vaccination rates throughout the region in the coming weeks.\u003c/p>\n\u003cp>\"That requirement may still come,\" Farnitano said. \"We'd like to see what effect a strong recommendation may have.\"\u003c/p>\n\u003cp>The Bay Area has some of the highest vaccination rates in the state, but those rates have slowed considerably in recent months, with a significant portion of the adult population still unvaccinated and highly susceptible to the new variant.\u003c/p>\n\u003cp>That's the scenario in Contra Costa County, where over 80% of residents 12 and over have gotten at least one dose of the vaccine, Farnitano noted.\u003c/p>\n\u003cp>\"So overall, we're doing really well as a county, but we still have large pockets that have much lower vaccination rates,\" he said, pointing to cities in the eastern part of the county, like Antioch, Pittsburg and Oakley, where rates are roughly 30% lower, driven in large part by younger adults.\u003c/p>\n\u003cp>\"It's still a sizable population that hasn't been vaccinated yet and is not protected,\" he added. \"First we saw cases go up, then we saw hospitalizations go up. And sadly, we're likely to soon see deaths go up.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"meta": {
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"source": "Commonwealth Club of California"
},
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"title": "Forum",
"tagline": "The conversation starts here",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"officialWebsiteLink": "http://freakonomics.com/",
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"meta": {
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"source": "WNYC"
},
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
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"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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