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Covid-19: New York State Will Stop Requiring That Food Must Be Ordered With Alcohol - The New York Times

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People dining outdoors at a restaurant in Manhattan in July. New Yorkers will soon be able to drink at bars and restaurants without the requirement of ordering food.
Karsten Moran for The New York Times

The leaders of the New York State Legislature said Tuesday they would move on the next day to suspend a pandemic directive that required customers to order food when purchasing alcohol at bars and restaurants.

The food directive was originally imposed by Gov. Andrew M. Cuomo in July 2020 in an attempt to keep patrons seated at tables and reduce mingling that could lead to large crowded gatherings, fueling the spread of the virus. The repeal of the rule would go into effect after passing both legislative chambers in Albany, which could happen this week.

The rule had been criticized by many, including the restaurant industry and many Republican lawmakers, as arbitrary and an unfair business regulation economically detrimental to bars that weren’t accustomed to serving food.

While some bars and restaurants had begun to eschew the directive in recent months, others were using creative workarounds to comply with the rule, providing the bare minimum and cheapest option that would count as “food” under the governor’s directive.

For months, New Yorkers were compelled to pair their beer or cocktail order with microwaveable hot dogs, barely cooked grilled cheeses, hastily-prepared peanut butter and jelly sandwiches and, of course, “Cuomo chips.”

On Tuesday, many on social media were in a jocular and nostalgic mood as they bade farewell to the restriction and the eclectic food items they had been forced to order to enjoy an alcoholic drink over the past nine months.

“Rest in peace to the Cuomoritos (a $1 bag of Doritos) the place near us has been selling,” wrote one person.

Another user wrote: “I’m gonna miss you, random bag of lays chips.”

The announcement was the latest in a series of restrictions that officials have eased as more people in the state are vaccinated and government officials increasingly turn their attention to New York’s economic recovery.

Last month, Mr. Cuomo, a third-term Democrat, expanded indoor dining capacity for New York City restaurants to 50 percent, up from 35 percent. And earlier this month, he extended the curfew for bars and restaurants from 11 p.m. to 12 a.m.

The restaurant industry welcomed the announcement, while calling for other restrictions to also be lifted.

“The public health justification for the food rule was always questionable, so this is good news because it is past time to repeal it,” said Andrew Rigie, the executive director of the New York City Hospitality Alliance, an industry group. “But the state also needs to repeal the rule prohibiting customers from sitting at a bar in New York City, which doesn’t make sense when you can sit at a table six feet away, and they should modify the midnight curfew.”

The move by the legislature comes a few months after it curtailed Mr. Cuomo’s emergency powers, a sharp rebuke to the governor that gave lawmakers additional oversight over the pandemic response.

Rich Azzopardi, a senior adviser to Mr. Cuomo, said on Tuesday that, given the state’s coronavirus data, “lifting this Covid-related restriction was something we were in the process of implementing in the coming days.”

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President Biden spoke on Tuesday about the Centers for Disease Control and Prevention’s new guidance about when masks should be worn outdoors.Stephanie Keith for The New York Times

The Centers for Disease Control and Prevention took a major step on Tuesday toward coaxing Americans into a post-pandemic world, relaxing the rules on mask wearing outdoors as coronavirus cases recede and people increasingly chafe against restrictions.

The mask guidance is modest and carefully written: Americans who are fully vaccinated against the coronavirus no longer need to wear a mask outdoors while walking, running, hiking or biking alone, or when in small gatherings, including with members of their own households. Masks are still necessary in crowded outdoor venues like sports stadiums, the C.D.C. said.

But President Biden hailed it as a landmark moment in the pandemic, wearing a mask as he approached the lectern on a warm spring day on the White House grounds — and pointedly keeping it off as he walked back into the White House when he was done.

“Go get the shot. It’s never been easier,” Mr. Biden said. “And once you’re fully vaccinated, you can go without a mask when you’re outside and away from big crowds.”

The C.D.C. stopped short of telling even fully vaccinated people that they could shed their masks outdoors altogether — citing the worrying risk that remains for transmitting the coronavirus, unknown vaccination levels among people in crowds and the still-high caseloads in some regions of the country. The guidance also cautioned even vaccinated people against going without masks in medium-size outdoor gatherings.

But even the C.D.C.’s director, Dr. Rochelle Walensky, emphasized a more expansive interpretation, telling reporters at a White House briefing, “We no longer feel that the vaccinated people require masks outdoors,” outside “large public venues, such as concerts, stadiums and things like that.”

Centers for Disease Control and Prevention

On Capitol Hill, a group of Republican lawmakers who are also medical professionals released an advertisement on Tuesday encouraging vaccination, in which they appeared wearing white coats with stethoscopes draped around their necks. Senator Roger Marshall, a freshman Republican from Kansas and a medical doctor, told viewers that the reason to get vaccinated was simple: “So we can throw away our masks, and live life as free as before.”

Mr. Marshall, who organized the effort, said it was based on research conducted by Frank Luntz, a Republican pollster working to reduce vaccine hesitancy among conservatives. In an interview, Mr. Luntz said Mr. Biden’s announcement was a positive step, and could give people who are reluctant to get vaccinated a reason to get their shots.

For Mr. Biden, who will address Congress on Wednesday and mark his 100th day in office on Thursday, the C.D.C.’s announcement was a moment to bask in what he called the “stunning progress” Americans had made since he took office. Next week, he said, he will outline a plan “to get us to July 4 as our target date to get life in America closer to normal and begin to celebrate our independence from the virus.”

Americans have been whipsawed on the issue of mask wearing since the beginning of the pandemic, when top health officials said people did not need them — in part because of severe shortages of protective gear for health care workers on the front lines. Masks became the centerpiece of the culture wars that surrounded the pandemic, especially after President Donald J. Trump insisted that they were optional and that he would not wear one.

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Dr. Rochelle P. Walensky of the Centers for Disease Control and Prevention remarked on Tuesday on the agency’s new guidance about when masks should be worn outdoors.Rosem Morton for The New York Times

The new guidance on mask-wearing from the Centers for Disease Control and Prevention on Tuesday says that masks can be shed for some relatively safe outdoor activities, especially by fully vaccinated people, because the virus does not spread readily outdoors.

But there are many circumstances where the new guidance still calls for masks to be worn outdoors, especially by unvaccinated people.

Here are some examples from the C.D.C.’s new guidance:

  • Walking, running, hiking or biking outdoors, alone or with members of the same household.

  • Attending a small outdoor gathering with fully vaccinated family and friends.

For these kinds of activities, unvaccinated people should still wear masks and maintain social distance, the C.D.C. says.

  • Attending a crowded outdoor event, like a parade, sporting event or live performance.

  • Doing almost anything indoors that involves contact with people who are not members of your household. Examples include dining indoors at a restaurant; going to the movies, an indoor concert or theatrical performance; attending full-capacity worship services; traveling on an airline flight or riding mass transit; singing in a chorus indoors; taking part in an indoor exercise class; visiting a shopping mall or museum; getting a haircut or manicure; or attending an indoor social gathering.

Though most of these activities are much safer for fully vaccinated people than for the unvaccinated, the C.D.C. guidance says that everyone should still wear a mask to protect themselves and others. People are not likely to know the vaccine status of those around them, the guidance says, and it is not yet clear whether fully vaccinated people can still spread the virus while not becoming ill themselves. Unvaccinated people should also maintain social distance, the guidance says.

People wearing masks riding the Pirate Ship at Adventureland in Farmingdale, N.Y., this month.
Johnny Milano for The New York Times

As the Centers for Disease Control and Prevention offered on Tuesday new guidance about when masks should be worn outdoors, people across the United States are living under an often confusing patchwork of limits, one that could continue for some time.

Before the C.D.C.’s changes on Tuesday, 25 states had some form of statewide mask mandate, as did the District of Columbia and Puerto Rico, according to a New York Times tracker of coronavirus restrictions across the country. In 24 other states there was no statewide mask mandate, while in Colorado masks could be required depending upon the number of cases diagnosed in a county.

But even within a state, mask mandates can vary based upon county or city. Kansas has no statewide mask mandates, but a number of cities and counties have their own orders. In Colorado, masks must always be worn in specific indoor locations — like schools, hospitals and government buildings — but in some counties with a high rate of new cases, they must also be worn in all public indoor settings with 10 or more people.

After the C.D.C.’s announcement on Tuesday, a handful of governors said they would relax their outdoor mask mandates. In Massachusetts, masks won’t be required unless it is not possible to social distance. Maine recommends wearing a mask outdoors when it’s difficult to stay distanced, and Gov. Gavin Newsom of California said on Tuesday that “if you’re fully vaccinated, outdoors and not in a large crowd — you do not need to wear a mask.”

Some outdoor mask requirements are even more specific, especially as a number of states have recently loosened orders. Masks are now only required outdoors in Kentucky at events with more than 1,000 people. Delaware recently removed a mask mandate for outdoor low-risk and medium-risk youth sports.

Gov. Andrew M. Cuomo said on Tuesday that New York would adopt the C.D.C.’s guidance on outdoor mask wearing for vaccinated people. “That is liberating, especially now that the weather is getting warmer,” he said at a news conference.

Gov. Bill Lee of Tennessee announced the end of statewide public health orders and issued an executive order that ends the authority of local officials to issue mask requirements in the 89 counties directed by the state health department. He also asked larger counties with their own health departments to lift restrictions like mask requirements by Memorial Day. The mayor of Knox County, which includes Knoxville, said Tuesday afternoon he would end a county mask mandate effective at midnight Tuesday.

Louisiana will lift its mask requirement for private businesses like restaurants and bars, Gov. John Bel Edwards said on Tuesday, but will keep the mask mandate for schools, universities and public transit. Mr. Edwards said mask requirements by businesses and local governments should still be adhered to.

At a White House news conference on Tuesday, Dr. Rochelle Walensky, the director of the C.D.C., stopped short of calling for states to end outdoor mask mandates. “States that have mask requirements outdoors, if people are vaccinated, we no longer feel the vaccinated people require masks outdoors,” she said. She said she continued to worry about protecting unvaccinated people at large outdoor public venues like concerts and sports stadiums.

As more than half of all American adults have received at least one dose of a coronavirus vaccine, mask mandates are often the last widespread public health order still in effect. Stay-at-home orders and forced business closures, measures sometimes used to try and stop the spread of the virus, have mostly been lifted across the country, though they persist in a few states.

Pharmacies in a federal vaccine program will set aside residency requirements to give second doses to those who got first shots elsewhere. A pharmacist in Los Angeles, Todd Gharibian, inoculates Toshiko Sugiyama.
Marcio Jose Sanchez/Associated Press

Federal health officials said on Tuesday that they were directing nearly all drugstores and grocery-store pharmacies to offer second doses of Covid-19 vaccines to people who received their first shot from a different provider.

Growing numbers of Americans who received a first shot of the two-dose Pfizer-BioNtech or Moderna vaccine are not getting their second shots, in part because of challenges with access. The Centers for Disease Control and Prevention estimates that more than 5 million people, or nearly 8 percent of those who were partially vaccinated, have missed getting their second dose.

Though that is not a high rate compared with those seen for multidose vaccines against other conditions, some states have been taking steps to prevent it from rising.

The new federal directive is aimed especially at encouraging college students who got their first shots on or near campus to get their second doses at home, according to Andy Slavitt, the White House’s senior adviser for Covid-19 response. To accomplish that, he said, pharmacies participating in a federal vaccine distribution program will set aside any residency requirements for vaccine recipients.

College students are a challenging group to get fully vaccinated. Many who became eligible recently got their first shot while still on campus, but will have left for the summer by the time they are due for their second shot.

Other recipients may have been unable to get a second appointment at their original provider or had an appointment that was canceled.

Many pharmacies were already giving out second vaccine doses to people who got first shots elsewhere. CVS stores, in particular, have become a destination for people scrambling to find a second shot, and a spokeswoman for Walgreens said her company was offering second doses without regard to where the first was administered.

New York City officials said on Tuesday that the city has taken a similar approach, allowing people to receive second shots at any city-run site. The problem is less pronounced in the city than it is nationally, with only about 5 percent of city residents missing their second dose, officials said.

People can schedule appointments at city sites in advance, or they can walk in. They need to bring proof of their first dose, like a C.D.C. vaccination card or an electronic record, to ensure that they receive the right vaccine within the recommended time.

“Our goal here is to keep reminding people to get that second dose however works best,” Mayor Bill de Blasio said at a news conference. “We’re going to accommodate them and keep this progress moving.”

Dr. Dave Chokshi, the city’s health commissioner, said that getting a second dose at a different location than the first should be a last resort. “We want people to keep their second-dose appointments if they’ve already made them,” he said.

Crowds gathered at the Portland Farmers Market at Portland State University in Portland, Ore., this month. New pandemic restrictions are likely to prompt a political backlash.
Kristina Barker for The New York Times

While coronavirus cases are dropping in much of the United States, Oregon is the only state where cases are spiking in a new wave that is set to push a third of its counties into the most extreme category of business and social restrictions.

In the last two weeks, virus cases have risen 54 percent and hospitalizations are up 39 percent, according to a New York Times database.

A total of 15 counties, including some in the Portland metro area, will move back into the fourth and most severe level of restrictions by Friday, after meeting the state’s threshold, the governor’s office said Tuesday. In counties categorized as facing “extreme risk,” indoor dining is prohibited and other businesses, like gyms and movie theaters, must significantly reduce capacity.

The new limits are likely to prompt a political backlash, and some states that have endured recent surges, like Michigan, where cases have leveled off but still remain high, chose not to re-tighten restrictions and instead asked residents to take greater precautions in an effort to halt the spread of the virus.

“This is not a step I take lightly,” Gov. Kate Brown said during a news conference last Friday. “However, it could be the last time we need to impose this level of restrictions given our vaccination trends and the virus’ behavior.”

Public health experts have suggested a combination of factors may be driving the surge, including more contagious variants, increased travel during spring break earlier this month and the loosening of state guidelines before vaccination rates had mounted sufficiently. Nearly 30 percent of the state’s population is fully vaccinated and 43 percent have received at least one dose as of Tuesday.

“We didn’t get down far enough and now we seem to be going back up again,” Ken Stedman, a biology professor at Portland State University, told local media outlet KATU.

Participants at Burning Man climbed onto an art installation titled “Night of the Climb” in 2018. Organizers said on Tuesday that the annual festival would resume in 2022.
Andy Barron/The Reno Gazette-Journal, via Associated Press

Burning Man, the annual countercultural arts event that typically draws tens of thousands of people to Nevada’s Black Rock Desert, has been canceled again this year because of the pandemic, but will return in 2022, organizers announced on Tuesday.

The decision to forgo building the event’s makeshift temporary metropolis, known as Black Rock City, in late August came after months of deliberations among organizers, who sought feedback from past participants on issues like vaccination requirements and racial diversity. With vaccinations mounting across the nation, expectations were high that the festival, which began in San Francisco in 1986 and moved to the Black Rock Desert in 1990, would resume this year after being called off in 2020.

“But, although here in the United States we may be feeling the weight lifting and the light at the end of the tunnel brightening, we are still in the pandemic, and the uncertainties that need to be resolved are impossible to resolve in the time we have,” organizers said on their website, The Burning Man Journal.

The return of Burning Man — with its towering art installations, all-night dance parties under the stars, and desert-roaming vehicles shaped like Pac Man ghosts and fire-spewing sea creatures — had for many participants become a litmus test in the nation’s collective journey back to some semblance of normalcy.

Some groups of attendees who camped together at the event had already announced that they would not return in 2021 because of concerns about public health and about affordability, given the economic pain the pandemic has inflicted on many people.

But many others were planning to attend, and certain camps were told as recently as Monday by organizers that they would be eligible for specific quantities of tickets, which only added to the sense of disappointment on Tuesday.

Emily Nicolosi, a research assistant professor at the University of Utah who has attended Burning Man, said she had been working for months to build a collection of large sculptures for display at the event this year.

“I’m pretty devastated,” she said on Tuesday, though she noted that organizers have allowed artists to keep the grant money they received for art projects.

Ms. Nicolosi said she did not fault the organizers for making the difficult decision to hold off until 2022. “It’s a hard choice, but I think they did the right thing to wait,” she said.

A Sputnik V vaccine production line in Saint Petersburg, Russia in February.
Emile Ducke for The New York Times

RIO DE JANEIRO — Brazil’s health authority said late Monday that it would not recommend importing Sputnik V, the Covid-19 vaccine developed by Russia.

The need for vaccines is urgent in Brazil: The country has been battered by one of the world’s worst outbreaks, driven by the highly contagious P. 1 virus variant.

But the health authority, Anvisa, said that questions remained about the Russian vaccine’s development, safety and manufacturing. All five of Anvisa’s directors voted against importing the vaccine.

Data about Sputnik V’s efficacy was “uncertain,” Gustavo Mendes Lima Santos, Anvisa’s manager of medicine and biological products, said in a lengthy late-night presentation. He noted that “crucial questions” had gone unanswered, including those about potential adverse events.

Russia is using Sputnik V in its own mass vaccination campaign, and the vaccine has been approved for emergency use in dozens of countries. A peer-reviewed study published in The Lancet in February said the vaccine had an efficacy rate of 91.6 percent.

Brazil’s decision prompted a response at the highest level of the Russian government, which has been energetically promoting Sputnik V in Latin America at a time when the United States has limited its vaccine exports to reserve doses for its own citizens.

The Kremlin spokesman, Dmitri S. Peskov, said on Tuesday that the Russian government would try to win over the Brazilian regulators’ minds about the vaccine’s safety. “Contacts will continue,” Mr. Peskov said on a conference call with journalists. “If data is missing, it will be provided. There should be no doubt in this.”

The official Sputnik V Twitter account have also pushed back, with a post in Portuguese on Monday saying that the vaccine’s developers had shared “all the necessary information and documentation” with Anvisa. In another tweet, it said Anvisa’s decision “was of a political nature” and had “nothing to do with access to information or science.” It alleged that the United States had persuaded Brazil to deny approval.

Anvisa officials were under immense pressure to deliver a decision on Sputnik V, because Brazilian states had contracts to buy almost 30 million doses. The Supreme Court ordered Anvisa to make a decision.

“The days of yes to the vaccine and to treatments are celebrated,” Alex Machado, an Anvisa director, said. “There will inevitably be days of no.”

Gov. Camilo Santana of Ceará, one of the states with a Sputnik V contract, said on Twitter that he respected Anvisa’s decision but found it strange, given that Sputnik V is being used in other countries. “I will keep fighting for this authorization, in a safe manner, following all the rules,” he said.

The Gamaleya Research Institute, part of Russia’s Ministry of Health, developed the vaccine, also known as Gam-Covid-Vac. The shot has been entangled in politics and propaganda, with President Vladimir V. Putin announcing its approval even before late-stage trials had begun.

Ana Carolina Moreira Marino Araújo, the general manager of the Anvisa department that inspects vaccine development, said at the meeting that Brazilian officials could not perform a full inspection of the Russian facilities.

She said officials who were in Russia last week were denied access to the Gamaleya Institute and inspected only two factories, finding problems in one of them. She also said Russian officials had tried to cancel the agency’s visit.

“At this moment, the inherent risk in manufacturing couldn’t be overcome,” Ms. Araújo concluded.

Manuela Andreoni and

A state-run mass vaccination site at the Javits Center in New York earlier this month.
Brittainy Newman for The New York Times

All state-run mass coronavirus vaccination sites in New York will allow anyone 16 or older to walk in without an appointment and get their first dose, beginning on Thursday, Gov. Andrew M. Cuomo announced on Tuesday.

Walk-in vaccinations will be available at state-run sites in New York City, like the Javits Center in Manhattan and Yankee Stadium in the Bronx, as well as on Long Island and in upstate cities like Albany and Syracuse, the governor said.

Second doses will still be given by appointment, which will be scheduled after the first dose is administered.

“Just show up, and roll up your sleeve, and the mass vaccination sites have the capacity to handle it,” Mr. Cuomo said at a news conference on Tuesday.

Other kinds of vaccine providers in the state, like pharmacies and sites run by cities and counties, will have the option to start allowing walk-ins as well, a step the governor encouraged.

New York had already begun allowing some vaccinations without prior appointments. Mr. Cuomo announced last week that people 60 and over could walk in for vaccination at 16 state-run sites. And Mayor Bill de Blasio of New York City announced last week that city-run vaccination sites would let anyone eligible walk in for a shot.

Allowing walk-ins simplifies a process that bedeviled many New Yorkers earlier in the pandemic, when obtaining a vaccine appointment often took hours of online searching and some luck as well. The new policy may also draw out people who are still hesitant to get vaccinated, Mr. Cuomo said.

“This is our way of saying, if you were intimidated by the process of trying to make an appointment, that’s gone,” the governor said.

He said it was feasible to allow more walk-ins because fewer vaccinations were being administered across the state now — about 115,000 doses a day — than a few weeks ago, when the state peaked at about 175,000 doses a day.

“The demand is reducing, fewer people are asking for appointments,” Mr. Cuomo said.

State data show that just under 45 percent of New York residents, or just over 8.9 million people, had received at least one dose of the vaccine by Tuesday morning.

Mr. Cuomo also announced at the news conference that New York would adopt the new C.D.C. guidance that fully vaccinated people can safely engage in most outdoor activities without masks.

Reports of new cases and hospitalizations have declined in the state, according to a New York Times database, but the risk of infection still remains very high in New York City, where some troublesome variants of the virus appear to be on the rise.

Global Roundup

Walking near the Acropolis in Athens last month.
Byron Smith for The New York Times

Greece lifted quarantine requirements on Monday for arrivals from seven more countries, including Russia and Australia, continuing an easing of rules for foreign visitors before a formal reopening to tourists on May 15.

Last week, Greece ended quarantine restrictions for visitors from European Union member states as well as the United States, Britain, Serbia and the United Arab Emirates. The steps were similar to those put in place in March for arrivals from Israel, which has been far ahead of most of the world in vaccinations.

Greece is also stopping restrictions this week for visitors from New Zealand, South Korea, Thailand, Rwanda and Singapore.

Greece had previously required arrivals to quarantine themselves for seven days. It is waiving that rule for passengers from the listed countries as long as they produce a vaccination certificate or the results of a negative PCR test conducted within 72 hours of their arrival.

After heavy economic losses in 2020, the Greek authorities are determined to save this year’s summer tourist season despite experiencing a severe third wave of coronavirus infections. Health officials have said the infection rate is stabilizing, though slowly. Greek health officials have reported more than 334,000 infections and more than 10,000 deaths from the virus, according to a New York Times database.

A new concern is the appearance of the coronavirus variant that is believed to be fueling the worsening outbreak in India. On Sunday, health officials recorded the second case of that variant in Greece, found in a 33-year-old foreign woman who had traveled to Dubai in early April.

Greece’s high infection rate remains a worry for some governments. The U.S. State Department has advised against travel to Greece, citing a “very high level” of coronavirus cases. Greek health officials have expanded testing in recent weeks as they gradually lift lockdown restrictions, with bars and restaurants scheduled to reopen on May 3 after a six-month hiatus.

In other updates from around the world:

  • With Thailand struggling to bring its worst coronavirus outbreak under control, Bangkok made it compulsory for residents to wear masks in public beginning on Monday. One of the first to break the new rule? The country’s prime minister, Prayuth Chan-ocha, who was seen maskless at a government meeting in a photo published on his official Facebook page. As a first-time offender, he agreed to pay a fine of about $190.

  • New Zealand said it would allow quarantine-free travel from Western Australia to resume on Wednesday, after a three-day pause prompted by two coronavirus cases in the Australian city of Perth. Travelers who have been identified as contacts of the infected Australians — a man believed to have been infected in hotel quarantine, and a woman he later stayed with — will have to self-isolate and test negative for the virus before departure, according to New Zealand’s Covid-19 response minister, Chris Hipkins.

  • The authorities in Portugal said they might lift a state of emergency as early as the end of this month after reporting zero deaths from the virus on Monday. It was the first such day since August. The infection rate in Portugal has recently fallen to one of the lowest levels in Europe. Portugal’s president, Marcelo Rebelo de Sousa, is giving a televised address on the subject Tuesday evening.

  • At first, getting the vaccine itself was the prize for older people in Russia seeking protection from the coronavirus. But with vaccinations slowing in Moscow, the city government began a program on Tuesday to encourage turnout with gift certificates. Residents over 60 will receive a voucher for 1,000 rubles, or about $13, redeemable at stores and restaurants. The Russian government has blamed widespread vaccine hesitancy for a slow start to its campaign. A shortage has also slowed the effort, with Russia exporting some of its doses. About 5 percent of Russians are now fully vaccinated; in the United States, it’s 27 percent.

Coronavirus patients in New Delhi waited on the street on Sunday to receive oxygen from a Sikh house of worship.
Atul Loke for The New York Times

As a second wave of the pandemic rages in India, which logged more than 300,000 new coronavirus cases for the sixth consecutive day on Tuesday, countries around the world are trying to help. But their efforts to send oxygen and other critical aid are unlikely to plug enough holes in India’s sinking health care system to end its deadly catastrophe.

The Indian health ministry reported more than 320,000 new cases and 2,771 deaths on Tuesday. Both figures represented slight declines from the previous day’s record highs, but experts said this was not a sign that the outbreak was easing. With enormous funeral pyres spilling into parking lots and city parks, there are signs that India’s reported overall toll of nearly 198,000 deaths could be a vast undercount.

Australia and the Philippines said on Tuesday they would pause commercial flights from India, joining Britain, Canada, Singapore and several other nations that have restricted travel from the country. Australia’s prime minister, Scott Morrison, said his government would donate ventilators and protective equipment to help India contain the outbreak.

The emergency in India, where a worrying virus variant is spreading rapidly, is driving a new global surge in the pandemic. It also carries implications for countries relying on India for the AstraZeneca vaccine, millions of doses of which are manufactured there.

“It’s a desperate situation out there,” said Ramanan Laxminarayan, the founder and director of the Center for Disease Dynamics, Economics & Policy, adding that donations would be welcome but might make only a “dent on the problem.”

Scientists fear that part of the problem is the emergence of a virus variant known as the “double mutant,” B.1.617, because it contains genetic mutations found in two other difficult-to-control versions of the coronavirus. One of the mutations is present in the highly contagious variant that ripped through California earlier this year. The other is similar to one found in the variant dominant in South Africa and is believed to make the virus more resistant to vaccines.

Still, scientists caution that it is too early to know with certainty how pernicious the variant emerging in India is.

Earlier this year, the government of Prime Minister Narendra Modi acted as if the coronavirus battle had been won, holding huge campaign rallies and permitting thousands to gather for a Hindu religious festival.

Now, Mr. Modi is striking a far more sober tone. He said in a nationwide radio address on Sunday that India has been “shaken” by a “storm.” And countries, companies and powerful members of the diaspora have pledged to pitch in.

Patients are suffocating in the capital, New Delhi, and other cities because hospitals’ oxygen supplies have run out. Frantic relatives have appealed on social media for leads on intensive-care-unit beds and experimental drugs. The government has extended New Delhi’s lockdown by another week.

India’s Supreme Court last week ordered the government to come up with a “national plan” for distributing oxygen supplies.

Mr. Modi appears to be looking to the rest of the world to help India quell the wave. Britain, Germany, France, Saudi Arabia and the United Arab Emirates have promised oxygen generators or ventilators. The United States has pledged raw material for coronavirus vaccines and intends to share up to 60 million doses of the AstraZeneca vaccine with other nations, so long as the doses clear a safety review conducted by the Food and Drug Administration, officials said Monday. Indian-American businessmen have pledged millions in cash from the companies they lead.

At a news conference on Monday, Dr. Tedros Adhanom Ghebreyesus, the director general of the World Health Organization, called the situation in India “beyond heartbreaking.” He said the organization had deployed 2,600 staff members to India to provide vaccination help.

The world’s seven-day average of new cases has remained well above 750,000 for the past week, according to a New York Times database, higher than the peak average during the last global surge in January. Despite more than one billion shots having been administered globally, far too small a percentage of the world’s nearly eight billion people has been vaccinated to slow the virus’s spread.

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