The Latest: CDC considers advice as delta variant emerges

Social distancing as well as face covering is recommended at the COVID-19 vaccination site in the Rose E. McCoy Auditorium on the Jackson State University campus in Jackson, Miss., Tuesday, July 27, 2021. The Centers for Disease Control and Prevention announced Tuesday, new recommendations that vaccinated people return to wearing masks indoors in parts of the U.S. where the coronavirus is surging and also recommended indoor masks for all teachers, staff, students and visitors to schools, regardless of vaccination status. (AP Photo/Rogelio V. Solis)

A student wears a face mask while doing work at his desk at the Post Road Elementary School, in White Plains, N.Y., in this Thursday, Oct. 1, 2020, file photo. U.S. health officials say the highly contagious delta version of the coronavirus is behind changes to mask guidelines. The Centers for Disease Control and Prevention this week announced that fully vaccinated people should resume wearing masks indoors if they live in areas where the virus is surging. CDC officials said new information about the spread of the delta variant forced them to reverse course. The agency also said teachers and students everywhere should go back to wearing masks in schools. (AP Photo/Mary Altaffer, FIle)

In this March 30, 2021, file photo, German federal police officers check passengers arriving from Palma de Mallorca for a negative Corona test as they arrive at the airport in Frankfurt, Germany. Germany will require people entering the country who haven’t been vaccinated or recently recovered from COVID-19 to show a negative test result starting from Sunday. (AP Photo/Michael Probst, File)

Japan's Prime Minister Yoshihide Suga (R) attends a news conference on Japan's response to the coronavirus pandemic during the Tokyo 2020 Olympic Games in Tokyo, Japan, Friday, July 30, 2021. Suga expanded a coronavirus state of emergency to four more areas in addition to Tokyo on Friday following record spikes in infections as the capital hosts the Olympics. (Issei Kato/Pool Photo via AP)

A man holds a virus pass as he waits to be vaccinated at a tent site set up by Doctors Without Borders to vaccinate migrants, the homeless and other marginalized populations in Paris, Thursday, July 29, 2021. Vaccination rates are picking up again in France as the government requires a virus pass for more and more activities, but social workers worry that the measure will further marginalize migrants and other poor populations. (AP Photo/Michel Euler)

A Saudi security officer watches as Muslim hajj pilgrims, wearing masks and keeping social distancing to help prevent the spread of the coronavirus, circumambulate the Kaaba, a square stone structure in the Great Mosque, in Mecca Saudi Arabia, Tuesday, July 20, 2021. Once drawing some 2.5 million Muslims from across the globe to the holy city of Mecca, the Islamic pilgrimage has been dramatically scaled back due to the virus. (Saudi Media Ministry via AP)

Health workers administer doses of the AstraZeneca COVID-19 vaccine to Buddhist monks at the Wat Srisudaram in Bangkok, Thailand, Friday, July 30, 2021. (AP Photo/Sakchai Lalit)

People stand in queue to get inoculated against COVID—19 at a vaccination center in Ahmedabad, India, Friday, July 30, 2021. (AP Photo/Ajit Solanki)

Gardener Gemma Hearn looks up as she poses for photographs whilst making a final trim of the Hampton Court Maze before it reopens to the public, at Hampton Court Palace, in south west London, Friday, July 30, 2021. The maze, which was first planted in 1689 and is the oldest hedge maze in Britain, reopens to visitors on Saturday after being closed since the beginning of the UK's coronavirus outbreak in March 2020. Three gardeners have worked on trimming it for two weeks ahead of the reopening. (AP Photo/Matt Dunham)

Free Covid-19 testing is being offered in a drive-thru setting at pharmacy's such as Rite Aid in Grass Valley's Glenbrook Basin. Appointments are required and can be made at Riteaid.com on July 29, 2021. (Elias Funez/The Union via AP)

People walk along a pedestrian crossing Friday, July 30, 2021, in Tokyo, as Japanese Prime Minister Yoshihide Suga expanded a coronavirus state of emergency to four more areas in addition to Tokyo following record spikes in infections as the capital hosts the Olympics. (AP Photo/Eugene Hoshiko)

Gardener Gemma Hearn poses for photographs whilst making a final trim of the Hampton Court Maze before it reopens to the public, at Hampton Court Palace, in south west London, Friday, July 30, 2021. The maze, which was first planted in 1689 and is the oldest hedge maze in Britain, reopens to visitors on Saturday after being closed since the beginning of the UK's coronavirus outbreak in March 2020. Three gardeners have worked on trimming it for two weeks ahead of the reopening. (AP Photo/Matt Dunham)

People wear face masks to help protect against the spread of the coronavirus after the COVID-19 alert rose to level 3 in Taipei, Taiwan, Friday, July 30, 2021. (AP Photo/Chiang Ying-ying)

People waiting to be vaccinated at a tent site set up by Doctors Without Borders to vaccinate migrants, the homeless and other marginalized populations in Paris, Thursday, July 29, 2021. Vaccination rates are picking up again in France as the government requires a virus pass for more and more activities, but social workers worry that the measure will further marginalize migrants and other poor populations. (AP Photo/Michel Euler)

Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), listens during a Senate Health, Education, Labor, and Pensions Committee hearing , Tuesday, July 20, 2021, on Capitol Hill in Washington. (Stefani Reynolds/The New York Times via AP, Pool)

NEW YORK — New evidence showing the delta variant is as contagious as chickenpox has prompted U.S. health officials to consider changing advice on how the nation fights the coronavirus.

Recommending masks for everyone and requiring vaccines for doctors and other health care providers are among measures the Centers for Disease Control and Prevention is considering. That’s according to internal documents obtained by the Washington Post. The presentation for CDC staff tells them to “acknowledge the war has changed.” It also notes that infections in vaccinated people may be as transmissible as in the unvaccinated.

The internal documents also cite studies from Canada, Singapore and Scotland showing the delta variant may pose a greater risk for hospitalization, intensive care treatment and death than the alpha variant, first detected in Britain.

The CDC emphasized the COVID-19 vaccines are highly effective at preventing infections, severe disease and death. It says “breakthrough” infections after vaccination are uncommon.

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MORE ON THE PANDEMIC:

— Germany to require COVID-19 tests for unvaccinated travelers, by land or air

— Japan expands its emergency beyond Tokyo amid record surge in cases while the capital hosts the Olympics

— States race to use COVID-19 vaccines before they expire

— Olympics collects vials of spit to ensure against virus spread, but such tests are hard to find elsewhere in Tokyo

— Find more AP coverage at https://apnews.com/hub/coronavirus-pandemic and https://apnews.com/hub/coronavirus-vaccine

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HERE’S WHAT ELSE IS HAPPENING:

BERLIN — Germany will require people entering the country to show a negative coronavirus test if they haven’t been vaccinated or recently recovered from COVID-19.

People crossing into Germany by means other than air transportation must prove their status. Authorities are expected to conduct spot checks at land borders rather than blanket controls.

The change approved by the Cabinet starts Sunday and applies to people ages 12 and above. It comes amid increasing concern about infections brought back from summer vacations pushing up Germany’s case rate. School holidays in some German states will end in about a week.

Currently, unvaccinated people traveling by air are required to test negative before they head to Germany, regardless of where they are coming from.

Germany’s disease control center said in a report this week that more than four-fifths of infections in Germany are still domestic. But there has been an increase in infected people who were likely exposed to the virus abroad — particularly in Spain and Turkey.

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TOKYO — Japan has expanded a coronavirus state of emergency to four more areas in addition to Tokyo on Friday, following record spikes in infections as the capital hosts the Olympics.

Prime Minister Yoshihide Suga declared an emergency in Saitama, Kanagawa and Chiba, near Tokyo, as well as in the western city of Osaka, effective Monday until Aug. 31. Emergency measures already in place in Tokyo will be extended until the end of August, after the Olympics and well into the Paralympics which start Aug. 24.

Tokyo has reported a record increase in cases for three days in a row, including 3,865 on Thursday, before logging another 3,300 on Friday. The cases have doubled since last week.

Officials say 2,995 people are hospitalized in Tokyo, about half the current capacity of 6,000 beds, with some hospitals already full. More than 10,000 others are isolating at home or in designated hotels, with nearly 5,600 waiting at home while health centers decide where they will be treated. Tokyo is also setting up a facility for those requiring oxygen while waiting for hospital beds.

Nationwide, Japan reported 10,687 cases Thursday, exceeding 10,000 for the first time. It has reported 15,166 confirmed deaths from COVID-19, including 2,288 in Tokyo, since the start of the pandemic.

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PARIS — France is deploying military medics and ICU units to the French Caribbean to relieve hospitals facing a coronavirus surge. Military planes are also bringing some critically ill patients to the French mainland for treatment.

The island of Martinique goes into partial lockdown Saturday. Martinique’s current infection rate is more than 1,000 cases per 100,000 people, the highest in France, according to national health agency figures.

Citing “strong tension” in hospitals in Martinique, the French Defense Ministry says 50 military medical personnel are heading to the region and the military will bring 10 ICU beds over the next week.

The Indian Ocean island of Reunion is imposing new confinement measures. Infections are also spreading fast in Guadeloupe.

The rising cases are blamed in part on travel between the islands and the French mainland and summer festivities, plus a vaccination rate much lower than the mainland.

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LONDON — Britain’s statistics office says the rate of coronavirus infections has increased in most of the country, though the rise may be starting to level off in England.

The Office for National Statistics estimates that 1 in 65 people in England had the virus in the week to July 24, up from 1 in 75 the week before. Infection rates also rose in Wales and Northern Ireland but declined in Scotland.

The numbers reflect the first few days after remaining social restrictions, including mandatory mask-wearing, were lifted in England on July 19. Infection rates were highest among high school students and young adults, who are less likely to be vaccinated.

The data is based on a randomized sample of people across the country. Separate figures that record confirmed positive tests each day suggest infections have recently been falling.

Duncan Cook from the statistics office says, “there are possible signs that the rate of increase may have slowed” in England. But it’s too early to say “whether the current wave of infections is stabilizing or not.”

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JERUSALEM — Israeli health authorities began administering coronavirus booster shots Friday to people over 60 who’ve already received both does of a vaccine, in a bid to combat a recent spike in cases.

The decision was announced Thursday by the Israeli prime minister, Naftali Bennet, making Israel the first country to offer a third dose of a Western vaccine to its citizens on a wide scale. The decision comes following rising infections caused by the delta variant.

More than 57% of the country’s 9.3 million citizens have received both doses of the Pfizer/BioNTech vaccine, and over 80% of the population over 40 is vaccinated.

The effectiveness of the Pfizer/BioNTech vaccine wanes slightly over time but it remains strongly protective for at least six months after the second dose, according to company data released Wednesday.

Neither the U.S. nor the EU has approved coronavirus booster shots. The World Health Organization said this month that there’s not enough evidence to show that a third dose is needed.

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NICOSIA, Cyprus — Cyprus will start the voluntary COVID-19 vaccination of children over 12 next week, using Pfizer and Moderna shots.

Health Minister Michalis Hadjipantela says Cyprus is following other European Union countries including France, Germany, Italy and Greece. The consent of parents and guardians is a prerequisite for all kids’ vaccinations.

Hadjipantela urged young people to get the shot, which he says is the only way to head off the spread of COVID-19 and guard against new variants. The median age of those infected in the last 14 days is 28.

Cyprus in the last month has witnessed cases spike to their highest levels since the start of the pandemic.

There’s been more than 98,000 cases, corresponding to more than 10% of the east Mediterranean island nation’s population. Confirmed deaths stand at 415, with more than 80 people are currently hospitalized in serious condition.

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BERLIN — In a bid to whet reluctant Germans’ appetite for the coronavirus shot, one vaccination center is offering a free bratwurst to all comers.

Public broadcaster MDR reported 100 people had turned up at the center in Sonnenberg during the first 4 hours Friday, a higher rate than usual. Sonnenberg is located in Thuringia state, which prides itself on its bratwurst tradition.

Official figures show 61% of the population in Germany has received at least one shot, and 51% are fully vaccinated.

But vaccination rates have slowed in recent weeks, prompting calls to offer incentives for more people to get the shot. They’ve ranged from free food and drinks to easing restrictions for people who can prove they’ve been inoculated.

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Saudi Arabia will reopen its borders to tourists on Sunday for the first time in 18 months after imposing restrictions at the start of the pandemic to curb the spread of the coronavirus.

The historically closed-off kingdom introduced electronic visas for tourists in late 2019, just before the pandemic struck.

Saudi Arabia is looking to rebrand itself as a unique tourist destination for nature lovers and curious travelers as a way to boost non-oil revenue and create more jobs.

Citizens of 49 mostly European countries, as well as the U.S. and China among others, will be allowed to enter the kingdom under the new rules without quarantine if they provide a negative PCR test before travel and have vaccine certificates proving two doses of the Oxford/Astra Zeneca, Pfizer/BioNTech or Moderna vaccines, or a single dose of the vaccine produced by Johnson & Johnson.

Travelers vaccinated with the Chinese Sinopharm or Sinovac vaccine must have received a third dose of one of the other vaccines.

Earlier this week, the kingdom warned that any citizen who travels to red-listed countries, such as the neighboring emirate of Dubai where the delta variant is present, could face a three-year travel ban.

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NEW YORK — U.S. health officials are expected to release new data about the spread of COVID-19 on Friday that led to their decision to recommend that vaccinated people wear masks in some situations, a reversal of previous guidance.

The report, to be released by the Centers for Disease Control and Prevention, comes from a recent investigation of a coronavirus outbreak in Provincetown, Massachusetts, according to a federal official who spoke on condition of anonymity because they were not authorized to disclose the plan.

Earlier this week, the CDC changed its masking guidelines, recommending that even vaccinated people return to wearing masks indoors in parts of the U.S. where the delta variant of the coronavirus is fueling surges in new cases.

Citing new – but unreleased — information about the variant’s ability to spread among vaccinated people, the CDC also recommended indoor masks for all teachers, staff, students and visitors at schools nationwide, regardless of vaccination status.

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CHARLESTON, W.Va. — West Virginia will offer free antibody tests to some fully vaccinated people to study whether some elderly and immunocompromised individuals should receive a booster shot.

State officials said they are following the lead of Israel, which said Thursday fully vaccinated people older than 60 would be offered a booster.

West Virginia will offer the testing for residents age 60 and older, particularly those living in nursing homes, who received their final vaccine dose at least six months ago.

If their antibody levels are low, a booster shot may be recommended. The move comes as the more contagious delta variant takes a hold in the United States, leading to the return of mask mandates in some parts of the country.

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LITTLE ROCK, Ark. — Arkansas’ Republican governor is calling lawmakers back to the Capitol to lift the state’s ban on mask requirements in public schools.

Gov. Asa Hutchinson on Thursday said he’ll call the majority-Republican Legislature into session likely next week to amend a state law that prohibits state and local government entities from requiring face masks. Hutchinson said he’ll propose giving local school boards the power to decide whether to require masks in K-12 schools.

“This is not a debate about mask mandates for those that can make their own decisions and have the means to get vaccinated,” Hutchinson said a news conference at the state Capitol. “This is a discussion about the school environment where schools can make decisions about the public health for their school environment and the children they have responsibility to protect.”

Hutchinson also declared a new emergency, two months after ending the declaration he’d put in place at the start of the pandemic last year.

Arkansas’ coronavirus cases have skyrocketed because of the delta variant and the state’s low vaccination rate. The state reported more than 2,800 new cases on Thursday.

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ATLANTA — Georgia Gov. Brian Kemp sought to shift blame to President Joe Biden for Georgia’s poor vaccination rate Thursday as COVID-19 infections and hospitalizations continued to sprint upward.

The Republican, speaking to reporters, blamed the Democratic president for not doing enough to push the Food and Drug Administration to upgrade their emergency authorization for the vaccines to a permanent authorization. Kemp said urging people to use masks again is a “mixed message” that could discourage vaccination.

The governor reiterated his call for people to get vaccinated against the disease, saying he would only seek other solutions if Georgia hospitals began to get overwhelmed. Georgia ranks in the bottom 10 states for vaccination rates.

“We know that the vaccines work,” Kemp said. “I want to encourage people to get vaccinated if you’re comfortable doing that.”

Democratic state Sen. Michelle Au, an anesthesiologist with a master’s degree in public health, said Kemp’s approach to increasing vaccination rates is unimaginative and passive.

Georgia recorded more than 4,800 cases of COVID-19 on Thursday, the worst number since Feb. 5. The state peaked on Jan. 8, with nearly 13,000 recorded cases.

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