Scientists See Signs of Lasting Virus Immunity, Even After Mild Infections

The Four Percent

Scientists who have been monitoring immune responses to the coronavirus for months are now starting to see encouraging signs of strong, lasting immunity, even in people who developed only mild symptoms of Covid-19, a flurry of new studies has found.

Disease-fighting antibodies, as well as immune cells called B cells and T cells capable of recognizing the virus, appear to persist months after infections have resolved — an encouraging echo of the body’s robust immune response to other viruses.

Protection against reinfection cannot be fully confirmed until there is proof that most people who encounter the virus a second time are actually able to keep it at bay, Dr. Pepper said. But the findings could help quell recent concerns over the virus’s ability to dupe the immune system into amnesia, leaving people vulnerable to repeat bouts of disease.

The concern about a twindemic is so great that officials around the world are pushing the flu shot even before it becomes available in clinics and doctors’ offices. Dr. Robert Redfield, director of the U.S. Centers for Disease Control and Prevention, has been talking it up, urging corporate leaders to figure out ways to inoculate employees. The C.D.C. usually purchases 500,000 doses for uninsured adults but this year ordered an additional 9.3 million doses.

Because common places of access, including offices and school health clinics, will be largely off limits, pharmacies and supermarkets are expected to play greater roles in administering the shots. As of this week, CVS and Walgreens will have doses ready.

The flu vaccine is rarely mandated in the U.S. except by some health care facilities and nursery schools, but this month the statewide University of California system announced that because of the pandemic, it is requiring all 230,000 employees and 280,000 students to get the flu vaccine by November 1.

Fighting flu proactively during the continuing pandemic presents significant challenges: not only how to administer the shot safely and readily, but also how to prompt people to get a shot that a majority of Americans have typically distrusted, dismissed and skipped.

Public campaigns will describe the shot as a critical weapon during the pandemic. “Hopefully people will say, ‘There’s no Covid vaccine so I can’t control that, but I do have access to the flu vaccine and I can get that,’” said Patsy Stinchfield, senior director of infection prevention at Children’s Minnesota and a member of the C.D.C.’s influenza work group. “It gives you a little power to protect yourself.”

New Zealand on Monday said it would postpone its national election by four weeks as a cluster of new virus cases continues to spread in Auckland, its largest city.

Prime Minister Jacinda Ardern, who has the sole authority to determine when people cast ballots, said she had consulted with all the major parties before deciding to move the election from Sept. 19. to Oct. 17. The latest possible date she could have chosen was Nov. 21.

Ms. Ardern called the new date a compromise that “provides sufficient time for parties to plan around the range of circumstances we could be campaigning under, for the electoral commission to prepare, and for voters to feel assured of a safe, accessible and critical election.”

But she ruled out further change. Even if the outbreak worsens, she said, “we will be sticking with the date we have.”

The election delay came as the mysterious cluster of new cases grew to 58 on Monday.

Health officials are still scrambling to test thousands of workers at airports and other points of entry, along with quarantine facilities and a frozen food warehouse, as they try to determine how the virus re-emerged last week after 102 days without known community transmission in the country.

Pressure on Ms. Ardern and her Labour Party to change the date had been building for several days.

With a Level 3 lockdown in Auckland putting a stop to campaigning, the leaders of other major parties argued that a free and fair election was impossible on the original date.

Winston Peters, the deputy prime minister and leader of the New Zealand First Party, Ms. Ardern’s coalition partner, said in a letter to Ms. Ardern last week that community transmission in Auckland was already disrupting the campaign. Until the city’s alert level drops, he said, the “playing field is hopelessly compromised.”

The National Party’s leader, Judith Collins, said she would prefer that the election be moved to next year, but that would require approval from 75 percent of Parliament. She said the election would be impossible “if a lot of people are frightened to leave your house or even frightened of having postal ballots.”

Ms. Ardern, however, said Monday that New Zealand needed to move forward.

“Covid is the world’s new normal,” she said. “Here in New Zealand, we are working as hard as we can to make sure our new normal disrupts our lives as little as possible.”

In other developments around the world:

  • It’s lights out for discos and clubs in Italy. As infections in the country creep back up — especially among young people — the authorities are clamping down. In addition to ordering dancing establishments closed, they are requiring the outdoor use of masks from 6 p.m. to 6 a.m. in popular gathering spots. “We cannot nullify the sacrifices made in past months,” Italy’s health minister, Roberto Speranza, said on Facebook.

The stretch of downtown Milwaukee where Democrats were supposed to hold their nominating convention this week was quiet and sparsely populated — another reminder of a summer lost.

Instead of thousands of Democrats preparing to gather at the newly built Fiserv Forum, there was just one street blocked off this weekend near the smaller Wisconsin Center, which will host the last few parts of the Democratic National Convention that will still take place in this city.

“What convention?” said Michaela Jaggi, a 21-year-old who passed by the Wisconsin Center on Saturday afternoon.

She eventually remembered: Joseph R. Biden Jr. was supposed to accept the Democratic nomination for president here this week.

That was before the virus crisis forced Democrats to transform their convention into a virtual event, in which none of the leading participants will appear from Milwaukee.

Some realities have not changed: The convention, which begins Monday and ends with a speech from Mr. Biden on Thursday, is the beginning of the formal general election between Mr. Biden and President Trump.

Mr. Biden’s running mate, Senator Kamala Harris of California, will have her largest audience yet, in a speech on Wednesday evening. A who’s who of Democratic Party politics will also deliver addresses to the nation — including former President Barack Obama and Senator Elizabeth Warren of Massachusetts.

The virtual nature of the convention is also a reminder that this is an election season unlike any other. Outside of Wisconsin, some states are trying novel ways to recreate at least some of the electricity of an in-person event.

A “Ridin’ with Biden” drive-in event in Massachusetts will be held on Wednesday, the day Ms. Harris and Ms. Warren are scheduled to speak. The drive-in is dedicated mostly to the state’s 140-member delegation.

In Tulsa, Okla., tickets for a drive-in watch party are $10 at the Admiral Twin on Thursday — the day Mr. Biden is scheduled to speak. The drive-in is largely open to the public because the state has only 43 delegates, said Alicia Andrews, the chairwoman of the Oklahoma Democratic Party.

“It’s about camaraderie,” Ms. Andrews said. “People are missing that.”

The Centers for Disease Control and Prevention is consulting with four states and a large city to develop plans for distributing a coronavirus vaccine, the first doses of which are expected to be available later this year or early next.

The agency chose the communities because they represent different kinds of challenges as the government prepares to begin the largest such campaign ever undertaken. The communities include small and large states, some that are doing well with their current epidemic response and at least one that is not, according to a federal official familiar with the discussions.

The states are California, Florida, Minnesota and North Dakota; the city is Philadelphia.

Each has a different demographic, ethnic makeup and population density, as well as its own infrastructure to store and deliver doses of vaccine. State and city officials are advising the C.D.C. and the Department of Defense, which are coordinating the federal response and determining how to most efficiently deliver doses of vaccine to the individuals who are most vulnerable to Covid-19, the disease caused by the virus.

Federal officials said last week that the administration expected to deliver tens of millions of vaccine doses by early 2021.

The challenges facing a nationwide vaccine campaign are enormous, including how best to store the vaccine and what kinds of clinics could handle the volume of demand. The C.D.C. reportedly favors a centralized distribution system, and the Defense Department apparently disagrees, according to the official familiar with the discussions.

Dr. Scott Gottlieb, former director of the Food and Drug Administration, said on Sunday that the government should enlist private companies to distribute a vaccine once it is developed.

“If the government tries to take physical possession of the vaccines and distribute them,” Dr. Gottlieb said on the CBS program “Face the Nation,” “that could lead to hiccups and delays in getting vaccines to the consumers. What they should be doing is directing the existing supply chain.”

A punishing heat wave scorching the Southwest is threatening to turn deadlier, as people struggle to keep cool in a region already plagued by wildfires and a recent surge in coronavirus cases.

With demand soaring for power to run air-conditioners, the agency that oversees California’s electric grid declared an emergency on Friday and, for the first time in 19 years, shut off service to hundreds of thousands of customers for several hours to avoid a damaging overload.

But the state’s health crisis may be deterring residents who lack air-conditioning at home from gathering at cooling centers or public places like malls and libraries. California’s cases are on the rise, with more than 65,000 new cases and about 950 related deaths over the past week.

The pandemic is “taking away one of the most critical resources for the most vulnerable,” said David Hondula, a professor who studies heat at Arizona State University. “Even in cases where facilities haven’t closed, people have to decide, ‘Do I stay home where I may be too hot, or do I go to a public or semipublic building where I may contract the virus?’ That’s a tough dilemma for folks to deal with.”

There is little relief in sight. High temperatures above 100 degrees Fahrenheit are expected in Los Angeles every day through Friday. In parts of California and Arizona, thermometers have been cracking 110. And extreme heat advisories extend to parts of Washington, Oregon, Utah and Nevada.

With millions of Americans expected to cast presidential ballots by mail this year because of the pandemic, congressional Democrats warned on Sunday of “a grave threat to the integrity of the election” and called on top Postal Service officials to testify before lawmakers on Capitol Hill.

The demand by top Democrats — including House Speaker Nancy Pelosi and Senator Chuck Schumer of New York — came after the Postal Service told states it might not be able to meet their deadlines for delivering last-minute mail-in ballots.

The move reflects growing alarm among Democrats and voting rights advocates about changes enacted under Louis DeJoy, the postmaster general and a Trump megadonor, that have resulted in delays in delivery and curtailed service. The changes include overtime cuts and the removal of mail-sorting machines.

“The postmaster general and top Postal Service leadership must answer to the Congress and the American people as to why they are pushing these dangerous new policies that threaten to silence the voices of millions, just months before the election,” the lawmakers said on Sunday.

Ms. Pelosi is calling the House back from its annual summer recess to consider a Postal Service bill as soon as Saturday, according to a senior Democratic aide familiar with the plans. Mr. Schumer demanded on Sunday that Senator Mitch McConnell, Republican of Kentucky and the majority leader, bring senators back to Capitol Hill to take up the House measure.

In addition, Democratic state attorneys general said Sunday that they were exploring legal action against the cutbacks and changes at the Postal Service. Washington State is expected to be the first to file this week, and Pennsylvania and New York are likely to follow, according to two people with knowledge of the discussions.

Mark Meadows, the White House chief of staff, said on Sunday that the administration would be open to a measure that would provide supplemental funding to help the Postal Service handle a surge in mail-in ballots.

In other developments around the U.S.:

  • With New York State’s virus infections at a fraction of the levels they reached during a devastating spring, the effort to prevent a resurgence includes a 14-day quarantine for travelers entering New York from states where positive test results for the virus exceed 10 percent. But in the absence of broad enforcement, many travelers to New York seem to be making their own rules, and social media has been capturing the exploits of these quarantine scofflaws.

  • The C.D.C. issued updated guidance on coronavirus infections in children, after recent reports that cases among that group surged last month. Those reports come as states across the country are trying to reopen schools safely. Georgia announced on Sunday that it would switch to online instruction two days a week after reporting at least nine cases among students. However, it remains unclear how susceptible children are to the virus compared with adults, as well as how transmissible Covid-19 is among them or to adults.

  • On Sunday, the U.S. reported more than 42,300 new cases and more than 510 new deaths.

Story County, in the dead center of Iowa, is mostly farmland, with only about 90,000 residents. But it has seen its coronavirus case count shoot up almost 30 percent, or at least 308 cases, just in the last two weeks.

What happened?

Iowa State University, in Ames, reopened.

At least 141 of those new cases are students who were tested as they moved into residence halls or campus apartments for the fall semester. The university said it had tested 6,500 students, using its veterinary diagnostic lab to process the tests and get results back quickly, usually within 24 hours.

That is still only a portion of the student body, which numbered nearly 33,400 students last year. Many students living in sorority or fraternity houses or in off-campus apartments, for example, may not have been included.

Students who test positive are moved to “isolation rooms” on campus, and their recent contacts are notified. Other students living in university housing who may have been exposed to them are given quarantine rooms and monitored for symptoms.

“We understand that receiving news that you need to isolate or quarantine is stressful for our students and families, especially when this impacts participation in campus events and classes,” Erin Baldwin, the interim senior vice president for student affairs at the university, said in a statement on Friday, adding that the school would “provide flexibility while they navigate coursework virtually.”

As protests over policing in Chicago led to tense clashes between officers and demonstrators over the weekend, city leaders were simultaneously contending with a rise in coronavirus cases. Cook County, which includes Chicago, is now averaging 640 new known virus cases a day, nearly twice as many as it was at the start of the summer.

But Mayor Lori Lightfoot, appearing on the CBS program “Face the Nation” on Sunday, declined to attribute the rise in virus cases to the protracted unrest, noting that earlier protests in the city had not appeared to yield any uptick in infections.

Instead, Ms. Lightfoot pointed to people traveling from state to state as a factor in the rise, and said that young people in particular were spreading the disease. “We’ve just got to break through to young people that they are not immune to this virus,” she said.

Chicago, the nation’s third-largest city, finds itself contending with an array of problems at once: rising virus cases, which have prompted officials to announce that schools will begin the academic year online only; protests over police brutality and a campaign to defund the police; and a burst of looting last week in the city’s downtown shopping district.

Reporting was contributed by Nicholas Bogel-Burroughs, Ben Carey, Chris Cameron, Damien Cave, Choe Sang-Hun, Emily Cochrane, Monica Davey, Melina Delkic, Caitlin Dickerson, Ben Dooley, Jesse Drucker, Catie Edmondson, Reid J. Epstein, Hailey Fuchs, Abby Goodnough, Rebecca Halleck, Astead W. Herndon, Jan Hoffman, Annie Karni, Alyson Krueger, Christina Morales, Eric Nagourney, Aimee Ortiz, Bryan Pietsch, Jessica Silver-Greenberg, Lucy Tompkins, Will Wright and Katherine J. Wu.

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