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U.S. Approves Mixing of Boosters; NYC Shot Mandate: Virus Update

Track the global Covid-19 pandemic and vaccination efforts here.

U.S. Approves Mixing of Boosters; NYC Shot Mandate: Virus Update
A South African resident receives a dose of the Pfizer-BioNTech Covid-19 vaccine. (Photographer: Dwayne Senior/Bloomberg)

U.S. regulators approved the mixing of booster shots and also cleared extra doses of the vaccines made by Moderna Inc. and Johnson & Johnson. The White House outlined a plan to vaccinate younger children once the shots are cleared, focusing on smaller doses given with smaller needles. 

New York City will mandate vaccination and eliminate a testing option for all municipal employees, including police and firefighters. The Bill & Melinda Gates Foundation will donate as much as $120 million to widen global access to Merck & Co.’s promising pill to treat Covid-19.

Russian President Vladimir Putin ordered the country’s most sweeping restrictions since May as the numbers of new infections and deaths reached record levels. In the U.K., a government official ruled out a new lockdown even as coronavirus cases tick upward and Prime Minister Boris Johnson warns of a difficult winter ahead.

Key Developments:

U.S. Approves Mixing of Boosters; NYC Shot Mandate: Virus Update

Boosters and Vaccine Mixing Approved (5:05 p.m. NY)

The U.S. Food and Drug Administration cleared a broad path for millions of Americans to receive Covid-19 vaccine booster shots, as the nation looks to bolster its defenses and prevent another virus surge.

The agency said in a statement on Wednesday that Moderna Inc. vaccine recipients over 65 and over can receive a third shot, as can adults 18 and up at high risk of severe Covid or with frequent institutional or occupational exposure to the virus that causes the disease.

Additionally, all J&J recipients 18 and older are eligible for a booster shot at least two months after receiving their first dose. 

The agency also allowed each of the available Covid vaccines to be used as a booster dose for eligible individuals following completion of a primary vaccination.

Ivermectin Poisonings Rise (5 p.m. NY)

Poisonings from taking ivermectin, an antiparasitic drug that some people have used in an attempt to treat or prevent Covid-19, rose sharply in August, according to a report from the Oregon Poison Center.

The center, which also serves Alaska and Guam, received 21 calls from people reporting ivermectin toxicity in August, up from a previous average of less than one per month, according to the report published Wednesday in the New England Journal of Medicine. Approved to treat parasitic worms in both people and livestock, ivermectin has surged in popularity recently as fringe groups, vaccine skeptics and social-media figures hype it as a cheap and accessible treatment for the coronavirus. 

Among the 21 reported poisonings, six people were hospitalized, including four who required intensive care. All six hospitalizations were in people taking ivermectin to prevent the viral disease, according to the report. Symptoms included gastrointestinal distress, confusion, weakness, loss of muscle coordination, low blood pressure and seizures. 

Shot Mandates Contributing to Labor Turnover (4:30 p.m. NY)

Employers across the U.S. are struggling to attract and retain talent, and in some areas, vaccine mandates have made it even more challenging to hold onto workers, the Federal Reserve’s Beige Book said Wednesday. 

The central bank said vaccine mandates were “widely cited” as contributing to high labor turnover, along with child-care issues and Covid-related absences. However, diving into the comments of the five regional Fed banks that mentioned vaccines, the repercussions of mandates varied. 

Latvia Resumes Shutdowns as Infections Soar (12:51 p.m. NY)

Latvia became the European Union’s first member to resume significant shutdowns as soaring infections -- the world’s highest per capita during the past week -- threatened to overwhelm hospitals. For the next month, the country will close bars and shops, impose curfews and resume distance learning for students.

Neighboring Estonia said it may follow if its situation gets much worse. Romania -- where less than a third of the population is vaccinated -- has turned to the World Health Organization for help after deaths and new cases hit records.

VP Harris to Meet With Workers on Mandate (11:55 a.m. NY)

U.S. Vice President Kamala Harris and Labor Secretary Marty Walsh will meet with federal workers on Wednesday morning ahead of the president’s deadline for government employees to prove their vaccination status.

Office of Personnel Management Director Kiran Ahuja, who leads the federal government’s human resources agency, will also attend the meeting. Federal workers will have to prove they’re vaccinated by Nov. 8 or face unpaid suspension followed by termination, her team said earlier this month.

The meeting marks the latest step in the president’s push to increase vaccination rates nationwide. Roughly 2.1 million civilians work for the federal government. 

Czech Republic Moves to Stem Outbreak (11:15 a.m. NY)

The Czech government will make wearing face-masks obligatory at all indoor spaces as of next week to stem coronavirus spread that has significantly accelerated this week, Health Minister Adam Vojtech said after an extraordinary cabinet meeting. Customers at the restaurants will have to provide certificates of either vaccination or negative test results. The government also shortened the validity of Covid-19 tests and stopped providing free tests to people, with the exceptions of children, to motivate people to get vaccinated.

Serbia Imposes Curbs as Cases Soar (9:40 a.m. NY)

Serbia is curbing access to indoor bars and restaurants, allowing in only people who have been fully vaccinated or recovered not more than seven months ago, Premier Ana Brnabic told reporters in Belgrade. Negative virus tests are valid for up to 72 hours, she said.

The health crisis is worsening again, with new infections spiking to more than 7,000 a day in the nation of barely 7 million people.

White House Gives Plans for Shots to Kids (9:23 a.m. NY)

The White House outlined its plan to vaccinate younger children, focusing on smaller doses given with smaller needles once the shots are authorized by regulators. 

“We will be ready to get shots in arms,” President Joe Biden’s Covid-19 response coordinator, Jeff Zients, said during a White House briefing on the plan, which includes supporting vaccination by primary care doctors and in pharmacies and schools.

U.S. Approves Mixing of Boosters; NYC Shot Mandate: Virus Update

The U.S. has ordered enough supply to vaccinate all kids 5 to 11, the White House said in a statement Wednesday.

Putin Orders Sweeping Curbs (8:27 a.m. NY).

President Vladimir Putin ordered Russia’s most sweeping restrictions since May as the numbers of new infections and deaths reached record levels. 

Putin approved a government proposal to declare Oct. 30 to Nov. 7 “non-working days” to slow the spread. The country’s worst-affected regions will be required to introduce the stay-at-home order from Oct. 23.

“Now it is especially important to bring down the peak of a new wave of the epidemic,” said Putin, who issued an unusually impassioned plea for Russians to protect themselves by getting vaccinated. 

NYC to Mandate Vaccines (8:09 a.m. NY)

New York City will mandate vaccination for all city workers, eliminating a testing option.

Starting Wednesday, all employees who get their first shot at a city-run site will receive an extra $500 in their paycheck. The benefit will end on Oct. 29, the deadline for employees to submit proof of at least one dose, Mayor Bill de Blasio said in a statement.

Employees not vaccinated by then will be placed on unpaid leave, the mayor said. The city will immediately begin “impact bargaining” with affected unions, according to the statement. 

U.K. Health Secretary to Hold Briefing (8:09 a.m. NY)

U.K. Health Secretary Sajid Javid will hold a press conference at 5 p.m. in London as pressure rises on the government to control a surge in cases. Javid is expected to encourage more elderly and vulnerable people to get booster vaccinations, and give an update on antiviral drugs.  

Javid will insist this is not yet the time for “Plan B” measures, which could include mandatory masks, vaccine passports and guidance to work from home, according to The Sun newspaper. It will be the first Covid press conference in five weeks.

Austria Sets Workplace Restrictions (7:32 a.m. NY)

Austria will require people who come into close contact with others at the workplace to show proof of vaccination, recovery or a negative test. The measure, announced by the government in Vienna, takes effect next month.

Austria is struggling to curb the latest wave of infections, with more than 3,700 new cases registered on Wednesday, the most since March. Vaccinations have helped cap hospitalizations, however, with coronavirus patients in intensive-care units at less than a third of peak levels seen in April and a year ago.

Romania Seeks More Assistance (7:31 a.m. NY)

Romania is seeking more help from the European Union to get medicine and medical personnel to treat coronavirus patients, the country’s health ministry said. Its Covid hospitals had no available ICU beds Wednesday, with about 1,800 people occupying existing capacity.

The country is suffering one of the worst outbreaks in the world because of a low vaccination rate, insufficient restrictions and a disregard for social distancing measures. Top government officials are poised to discuss introducing tougher curbs later on Wednesday.

Kenya Lifts Curfew (7:31 a.m. NY)

Kenyan President Uhuru Kenyatta lifted a dusk-to-dawn curfew as the number of new coronavirus cases fell. Place of worship can also be filled to two-thirds of their capacity, double the previous limit, Kenyatta said in a televised address on Wednesday.

Singapore Extends Curbs by Extra Month (7:13 a.m. NY)

Singapore will maintain current virus restrictions for about another month as new infections threaten to overwhelm its health care system. The city-state set a record with almost 4,000 daily cases.

The strict measures limiting outdoor social gatherings to two people and making work from home the default will continue until Nov. 21, the health ministry said Wednesday. The government will extend aid amounting to S$640 million ($476 million) to help tide over businesses and people during this period. 

NYC Requires Shots for Public Staff: DJ (6:10 a.m. NY)

New York City will eliminate the option for testing and require that all of its municipal workforce get vaccinated against Covid-19, Dow Jones reported, citing a spokeswoman for Mayor Bill de Blasio. The order, which the Mayor plans to announce Wednesday, would require some 46,000 city workers to get their first shot by Oct. 29, according to the report.

Europe Wants to Make Travel Easier (4:58 p.m. HK)

EU countries are seeking agreement on ways to ease pandemic travel restrictions within and into the bloc as leaders work to boost vaccination levels.

One option under discussion ahead of a two-day EU summit in Brussels is a plan to effectively scrap the traffic-light system of green and red areas in the bloc that has been used to govern travel rules and instead allow anyone who has been vaccinated to travel freely, according to a European Commission informal proposal seen by Bloomberg.

U.K. Rules Out Another Lockdown (4:13 p.m. HK)

U.K. Business Secretary Kwasi Kwarteng said there won’t be a fresh lockdown of the U.K. economy even as cases tick upward and Prime Minister Boris Johnson warns of a difficult winter ahead.

In a bullish round of interviews with U.K. broadcasters, Kwarteng said the government is monitoring coronavirus data by the hour, and pointed out that while case levels are high, hospitalizations and deaths are much lower than at the start of the year due to the country’s successful vaccination program. He told LBC radio “I categorically rule out” new lockdown measures.

Malaysia Tracking App Hacked (2:30 p.m. HK)

Malaysia’s Covid-19 tracking application has been misused by “malicious scripts” to send unsolicited one-time passwords to random phone numbers.

The team running the MySejahtera app, which also verifies Covid vaccinations, said they received complaints from several users about getting OTP messages to verify their phone numbers for check-in QR registrations.

Some users received emails saying they’ve tested positive for Covid. The incident sparked concerns on social media about a likely leak of personal data involving the nation’s 32 million people. 

Roche Raises Forecasts on Test Demand (1:13 p.m. HK)

Roche Holding AG raised its forecast for the year slightly, saying demand for its prescription drugs and Covid-19 tests will help sales and earnings rise in the mid-single digits.

The new outlook comes after revenue rose 8% in the first nine months of the year, the Basel, Switzerland-based company said. Roche’s previous forecast was for sales and earnings excluding some items to grow by a low- to mid-single-digit percentage.

Gates Backs Access to Covid Pill (12:01 p.m. HK)

The Bill & Melinda Gates Foundation said millions of courses of Merck & Co.’s promising pill for Covid-19 could begin to reach lower-income nations early next year as the charity kicks in as much as $120 million to widen global access to the therapy.

The funds will assist generic-drug manufacturers, some of which have indicated they could produce as many as 10 million treatments a month, according to Trevor Mundel, president of the global health division at the Gates Foundation.

The drug’s progress has been accompanied by concerns that lower-income nations struggling to obtain Covid vaccines could be left behind once again when it comes to therapies. The foundation is calling on other donors to devote resources to accelerating the rollout of Merck’s experimental molnupiravir to poorer nations if it’s approved.

Singapore Says Hospitals Under Strain (11:10 a.m. HK)

Covid-19 cases are in danger of stretching the country’s health care system to its limits, even as strict rules designed to curb the current outbreak are set to be reviewed within days. 

The peak in new daily cases was likely due to a post-weekend surge, the Ministry of Health said, though it will continue monitoring cases to determine if it was a trend. 

U.S. Approves Mixing of Boosters; NYC Shot Mandate: Virus Update

Vietnam Predicts Faster Growth (11:04 a.m. HK)

The southeast Asian nation is seeking to revive manufacturing and exports after a crippling coronavirus outbreak, the prime minister said.

“The country faced increasing difficulties with the outbreak of the delta variant,” which challenged the resiliency of its economy, Chinh said in an address to the National Assembly.

The ravages of the Covid-19 delta variant sent GDP plunging 6.17% in the third quarter, the worst performance since the government started tracking the figure. 

Bangkok Hits 70% Vaccination Rate (9:25 a.m. HK)

Thailand’s capital has administered at least two doses of vaccine to 71% of its adult population, paving the way for the city to welcome back inoculated visitors without a mandatory quarantine from Nov. 1. The inoculation rate is projected to reach 80% by the end of this month, according to the Bangkok Metropolitan Administration.

U.S. Approves Mixing of Boosters; NYC Shot Mandate: Virus Update

Thailand is set to allow quarantine-free visits from five nations including the U.S., U.K. And Singapore starting next month as it seeks to revive its tourism-reliant economy. The country reported 8,918 new Covid cases on Wednesday, the lowest single-day tally since July 13.

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With assistance from Bloomberg