State Lawmakers Across U.S. Seek to Curtail Governors’ Emergency Powers

Around 300 proposals have won approval or are awaiting action in state legislatures. Here’s the latest on the pandemic.,

LiveUpdated March 27, 2021, 5:14 p.m. ETMarch 27, 2021, 5:14 p.m. ET

About a third of U.S. adults have now received at least one dose of a vaccine. New York and Arkansas lag in setting a target date for full adult eligibility. Special training offers Covid survivors a route back to a sense of smell.

Protesters gathered at the statehouse in Columbus, Ohio, last April. This week, legislators overrode Gov. Mike DeWine's veto on a bill limiting his powers to make emergency declarations and barring cities and counties from issuing their own rules.
Protesters gathered at the statehouse in Columbus, Ohio, last April. This week, legislators overrode Gov. Mike DeWine’s veto on a bill limiting his powers to make emergency declarations and barring cities and counties from issuing their own rules. Credit…Gene J. Puskar/Associated Press

When the pandemic began, the nation’s governors suited up for a new role as state bodyguards, issuing emergency orders to shutter schools, close cinemas and ban indoor dining in an effort to curb a mushrooming threat.

But not everyone likes killjoys, no matter how well-intentioned.

Now, state legislatures — saying the governors have gone too far — are churning out laws aimed at reining in the power of their executives to respond to the pandemic and emergencies like it.

A Kansas bill that this week became law requires Gov. Laura Kelly to suspend all emergency orders and give legislators the option to void any that she reissues. Mask mandates are likely to be among the first to fall. Ohio legislators overrode Gov. Mike DeWine’s veto this week, limiting his powers to make emergency declarations. Utah lawmakers voted for an April 10 end to mask requirements and to rein in powers of the governor and state health officials to deal with crises; the bill became law on Wednesday.

Those are but some of the 300-odd proposals to curb governors’ emergency powers that have won approval or are awaiting action in State House and Senate chambers — although most will, as usual, be winnowed out in committee and never come to a vote.

All but a handful have been written by Republicans, many of whom have regarded restrictions from the start as bad for business and infringements on personal freedom. If that suggests that the issue of emergency power is partisan, however, that’s not entirely true: Legislation takes aim at the powers wielded by governors of both parties.

A list of bills by the National Conference of State Legislators shows that the gamut of the proposals is both broad and inventive. An Arkansas state senator wanted fines for violating coronavirus restrictions refunded to violators. Lawmakers in six states, including Georgia and Oregon, want to stop governors from imposing limits on attendance at church services. A measure in Maine would circumvent restrictions on businesses by declaring all businesses to be essential in any emergency.

Most proposals, however, are more straightforward attempts to give lawmakers a say, often by limiting the duration of emergency declarations and requiring legislative approval to extend them. The nonpartisan Uniform Law Commission is reviewing state emergency statutes to see if they need updating in light of the coronavirus crisis. But the American Legislative Exchange Council, a conservative pro-business group that has spent years cultivating ties with state legislators, has beaten them to the punch, circulating a so-called model law that is the basis for many state proposals.

Some experts call that a mistake. “The time for legislatures to address emergency declarations isn’t in the middle an emergency, but before or after one,” said Jill Krueger, the director of the northern region of the Network for Public Health Law, in Edina, Minn.

Indeed, practically every state has at least one measure targeting a governor, either in a legislative committee or in the lawbooks.

The Republican governor of Indiana, Eric J. Holcomb, has backed more lenient coronavirus restrictions than have governors of some neighboring states, giving businesses more generous occupancy limits based on the severity of Covid-19 outbreaks in each county. That did not stop the Republican-controlled legislature from filing 21 bills aimed at loosening his emergency powers, the most of any state surveyed by the Conference of State Legislatures, including a resolution calling for the statewide emergency to be scrapped immediately.

The resolution appeared to be gathering serious momentum until Tuesday, when the governor sought to address critics by lifting a statewide mask mandate and turning business regulations over to local governments.

Both actions go well beyond the easing of restrictions taken in most other states that have relaxed regulations, although local governments retain the right to impose stiffer rules.

“His middle-of-the-road approach has resonated with people,” said Andrew Downs, an associate professor and expert on Indiana politics at Purdue University-Fort Wayne. That said, he added, “people out on the extreme are upset with him, and they recognized the need to recapture some of the power the governor has been using.”

A pharmacist  in Little Rock, Ark., administering a dose of Moderna's Covid-19 vaccine earlier this month to Jane Black, while her husband, Thomas Black, waited for his shot.
A pharmacist in Little Rock, Ark., administering a dose of Moderna’s Covid-19 vaccine earlier this month to Jane Black, while her husband, Thomas Black, waited for his shot.Credit…Rory Doyle for The New York Times

The U.S. vaccination campaign is accelerating rapidly, with more than 91 million people — roughly a third of the adult population — having received at least one shot of a Covid-19 vaccination by Saturday. And nearly every state has announced that it will meet President Biden’s directive to make all adults eligible by May 1.

But as of Saturday afternoon, two states — Arkansas and New York — still had not declared a timeline for their residents, according to a New York Times vaccine rollout tracker.

A third state, Wyoming, has also not said when all adults would be able to get the shot, but eligibility in the state expands on a county-by-county basis, a spokeswoman for the state’s Department of Health said, and 20 of the state’s 23 counties now allow all adults to get vaccinated. She said she expected full access “quite soon.”

In Arkansas, where a Times database shows that about 13 percent of the population of three million has been fully vaccinated, Gov. Asa Hutchinson this week extended eligibility to military veterans who are at least 18 years old. That decision came soon after appointments opened up for additional essential workers and adults between 16 and 64 who have some health conditions.

The state has moved to Phase 1C of its expansion, making almost one million new people eligible for the vaccine, and the state department of health anticipates opening up eligibility to all adults by early May, “if not sooner,” a spokeswoman said.

“I want to ask everyone, when it’s your turn, get a shot,” Mr. Hutchinson said at a news briefing this week. “Get that shot in your arm, because it helps our entire state to completely move out of this pandemic and so we need everybody to get vaccinated.”

At the news conference, Mr. Hutchinson said there were parts of the state where eligible residents were still unable to book an appointment, particularly in the northwest and several urban areas. Additionally, not all inmates, who are included in the list of those already eligible, have been vaccinated, he said.

“But stay tuned,” Mr. Hutchinson said, adding that he expected the state to expand eligibility to all adults “in the near future.”

In New York, Gov. Andrew M. Cuomo said at a news briefing this week that other states were setting dates based on allocation projections coming from the federal government. But Mr. Cuomo said he wanted “to make sure that the allocation projections that we’re getting from the feds are right” before setting a specific date for eligibility expansion.

“I would rather get the specific allocation number and then tell the people of the state,” Mr. Cuomo said, “so we don’t have to change advice and we don’t create pandemonium for the scheduling operation.”

Gail Diberardinis walking in Austin, Texas, on March 10. A mask mandate in the city and surrounding Travis County is under fire by state officials.
Gail Diberardinis walking in Austin, Texas, on March 10. A mask mandate in the city and surrounding Travis County is under fire by state officials. Credit…Ricardo B. Brazziell/Austin American-Statesman, via Associated Press

A district judge in Texas has allowed Austin and the surrounding Travis County to keep requiring masks, weeks after Gov. Greg Abbott ended the state’s mask mandate.

Ken Paxton, the state’s attorney general, sued local officials earlier this month for refusing to comply and said that county leaders “must not be thinking clearly.

A state district judge, Lora Livingston, denied the state’s request on Friday to quash a local order allowing officials to keep enforcing mask-wearing in Austin and Travis County. She ruled that the state did not meet “its burden to demonstrate the right to the relief it seeks,” according to a decision letter.

Mr. Paxton is expected to appeal the ruling, which means that officials could be forced to lift the mandate later.

Still, some local officials took the judge’s ruling as a victory, extending the amount of time the county can require customers and employees to wear masks inside businesses.

“Today’s court ruling allowing the Health Authority’s rules to remain in place and keep the mask requirements for businesses puts the health and safety of our public above all else during this pandemic,” the Travis County judge, Andy Brown, said in a statement on Friday.

Mr. Abbott, a Republican, lifted the mandate on March 10 and said that all businesses in the state could operate with no capacity limits, even as the state’s vaccinations trailed the national average. The move was met with sharp criticism from President Biden, who called the lifting of statewide mask mandates “a big mistake” that reflected “Neanderthal thinking.”

The ending of the mandate also frustrated some frontline workers in Texas who said they were worried about the risk of being exposed to maskless customers and crowds, as they had not been vaccinated yet.

Reported coronavirus cases and deaths have steadily dropped nationwide after a post-holiday surge at the end of last year, though progress is starting to stall and health officials have warned about the spread of more contagious variants. The United States is still reporting an average of 60,000 new cases daily, according to a New York Times database.

— Madeleine Ngo

Annie Arkwright, near her home in Shropshire, England. She lost her 19-year-old daughter, Lily, to suicide in October. “Lockdown put Lily in physical and emotional situations she would never have in normal times,” Ms. Arkwright said.Credit…Andrew Testa for The New York Times

More than 2.7 million people have died from the coronavirus, a tangible count of the pandemic’s cost. But as more people are vaccinated, and communities open up, there is a tally that experts say is harder to track: the psychological toll of months of isolation and global suffering, which for some has proved fatal.

There are some signs indicating a widespread mental health crisis. Japan saw a spike in suicide among women last year, and in Europe, mental health experts have reported a rise in the number of young people expressing suicidal thoughts. In the United States, many emergency rooms have faced surges in admissions of young children and teenagers with mental health issues.

Mental health experts say prolonged symptoms of depression and anxiety may prompt risky behaviors that lead to self-harm, accidents or even death, especially among young people.

Some public figures, like Yuval Noah Harari, a prominent Israeli historian, have asked the authorities to weigh the risks of depression if they impose new virus restrictions. And public health officials in some areas that have seen a surge of adolescent suicides have pushed for schools to reopen, although researchers say it is too early to conclusively link restrictions to suicide rates.

In Europe, with the crippled economy and the aftermath of the restrictions, the psychological fallout of the pandemic could unfold for months, or even years, public health officials say, with young people among the most affected.

Bereaved families of young people who have died during the pandemic are haunted by questions over whether lockdowns — which not only shut stores and restaurants but required people to stay home for months — played a role. They are calling for more resources for mental health and suicide prevention.

Lily Arkwright, a 19-year-old history student at Cardiff University in Wales, was self-confident, outgoing and charismatic in public, her friends and family said, but as she went back to school in September, she began to struggle with the effects of lockdown. She died by suicide in October.

“Lockdown put Lily in physical and emotional situations she would never have in normal times,” said her mother, Annie Arkwright.

“It’s OK for a young child to fall over and let their parents know that their knee hurts,” Ms. Arkwright said. “This same attitude needs to be extended to mental health.”

People are showered with flower petals as part of Holi celebrations in Mathura, India, on Thursday. As the festival season begins, health care workers are worried about the spread of the virus.
People are showered with flower petals as part of Holi celebrations in Mathura, India, on Thursday. As the festival season begins, health care workers are worried about the spread of the virus.Credit…K.K. Arora/Reuters

India, racing to contain a second wave of the coronavirus, recorded its biggest single-day spike since October — 59,118 cases in the past 24 hours.

The uptick, which was especially high in the state of Maharashtra, home to Mumbai, comes as more people ease up on public health measures like wearing masks and social distancing.

Officials say the relaxed attitude could be one factor in the increase. Single-day figures sometimes contain anomalies, but the country’s seven-day average of new cases, a more reliable gauge, has been rising sharply since early March, surpassing 41,500 for the first time since late November.

The resurgence of the coronavirus, which was once seemingly in retreat, is prompting health officials and law enforcement agencies to review and adopt more stringent measures to try to stem the spread. Health care workers are particularly worried as people gather to celebrate festivals like Holi and crowd at bazaars.

India has directed regional governments to deploy law enforcement officials to ensure that people are wearing masks and maintaining distance. And the country has also curtailed exports of Covid-19 vaccines, inciting a setback for inoculation drives in other countries, especially in poorer ones that do not have the infrastructure to produce their own.

India is desperate for all the doses it can get. Infections are soaring, topping 50,000 per day, more than double the number less than two weeks ago. And the Indian vaccine drive has been sluggish, with less than 4 percent of India’s nearly 1.4 billion people getting a jab, far behind the rates of the United States, Britain and most European countries.

The latest surge is crippling life in several regions of Maharashtra, which has recorded the highest number of cases in the country — 2.6 million. The state is home to densely populated Mumbai, the country’s financial hub, where millions live, sometimes in very close quarters. The Dharavi slum was sealed off for nearly two months during the first wave of infections.

Even as cases rose in the city, business continued as usual in some pockets. But entire districts of the state have gone back into lockdown, and the government in Maharashtra is imposing a nightly curfew starting Sunday. Malls will also close at 8 p.m.

As of Saturday morning, India had reported at least 11.9 million cases and 161,240 deaths, according to a New York Times database. Sachin Tendulkar, one of India’s cricketing legends, and the Bollywood star Aamir Khan were among those who have tested positive for the coronavirus in recent days.

A line for vaccines in Munich this week. Only about 10 percent of Europeans have received a first dose.
A line for vaccines in Munich this week. Only about 10 percent of Europeans have received a first dose.Credit…Laetitia Vancon for The New York Times

The European Union’s stumbling Covid-19 vaccination drive, badly shaken by the recent AstraZeneca safety scare, got a boost on Friday from the European Medicines Agency, which approved new AstraZeneca, Pfizer-BioNTech and Moderna vaccine production sites.

The agency, an arm of the European Union and Europe’s top drug regulator, approved sites in the Netherlands, Germany and Switzerland. It also loosened regulations for how long the Pfizer vaccine must be stored at ultralow temperatures.

The moves could speed up the Continent’s lagging vaccine production and distribution, which have been plagued by delays and setbacks.

Though the European Union is flush with cash, influence and negotiating heft, only about 10 percent of its citizens have received a first dose, compared with 26 percent in the United States and 44 percent in Britain. The bloc of 27 nations was comparatively slow to negotiate contracts with drugmakers, and regulators were cautious and deliberative in approving some vaccines. And it has been stymied by supply disruptions and shortages.

Europe also experienced a scare over the safety of the AstraZeneca vaccine and distribution in several countries was temporarily halted. Most of those countries have resumed using it, after the E.M.A. vouched for its safety, but public confidence in the shot has been severely undermined.

The agency said a new warning label would be added to the vaccine so that people in the medical community could watch for rare complications that could lead to blood clots and brain bleeds.

Trust in the AstraZeneca vaccine is essential to fighting the pandemic worldwide. The shot is more easily stored and less expensive than Pfizer’s or Moderna’s, and for now, it is sold without the goal of earning a profit.

The European Union has exported more vaccine doses than it has administered. On Wednesday, it revealed emergency legislation that would curb exports of Covid-19 vaccines manufactured in its countries for the next six weeks.

Ursula von der Leyen, president of the European Commission, posted on Twitter on Thursday that the European Union had shipped out 77 million doses since early December, 88 million was expected to be distributed internally by the end of the week, and 62 million shots had been administered within the member nations.

“I can’t explain to European citizens why we are exporting millions of vaccine doses to countries that are producing vaccines themselves and aren’t sending us anything back,” Ms. von der Leyen, said last week.

People waiting to receive shots of Russia's Sputnik V vaccine in Buenos Aires in February. Argentina has decided to delay second doses of this and other vaccines to focus on first shots.
People waiting to receive shots of Russia’s Sputnik V vaccine in Buenos Aires in February. Argentina has decided to delay second doses of this and other vaccines to focus on first shots.Credit…Matias Baglietto/Reuters

BUENOS AIRES — Argentina is delaying the administration of the second dose of Covid-19 vaccines for three months in an effort to ensure that as many people as possible get at least one dose amid a sluggish vaccination drive.

The move “seeks to vaccinate the largest number of people possible with the first dose to maximize the benefits of vaccination and diminish the impact of hospitalizations and mortality,” the government said in announcing the decision on Friday.

The country has been applying Russia’s Sputnik V, China’s Sinopharm and Covishield, the Indian version of the AstraZeneca vaccine.

Since its vaccination campaign began in December, Argentina, a country of 45 million people, says it has administered a total of 3.55 million doses of vaccine, including 658,426 who have received the two doses called for in the protocols for all three vaccines.

Several countries are considering delaying second doses, including Britain, which pursued a plan to separate doses by up to three months. And federal health authorities in the United States have indicated flexibility on expanding the gap between first and second doses to six weeks. But the vaccines in those cases are the same in both doses.

Sputnik, however, developed by the Gamaleya Research Institute, part of Russia’s Ministry of Health, uses a different adenovirus in each of its two doses to deliver bits of the coronavirus’s genetic code. Russia has said it will soon release a one-shot version of its vaccine — essentially using the first dose as the only dose, which it is calling “Sputnik Light.” It is not clear what benefit there would be to delaying a second dose of Sputnik, since there is no recommendation that the second version be administered as a single dose.

Argentina’s decision to delay second doses comes amid increasing concerns of the possibility of a new wave of Covid-19 cases and deaths, fueled by the new variants of the virus that have engulfed several of Argentina’s neighbors, particularly Brazil, but also Chile and Paraguay.

Argentina is canceling all direct flights with Brazil, Chile and Mexico starting Saturday in an effort to block the new variants. It had already blocked flights from Britain and Ireland.

International travelers already face new restrictions in Argentina, including a mandatory Covid-19 test on arrival and enforced quarantine in a hotel if it comes back positive.

Credit…Patricia Voulgaris for The New York Times

It’s called smell training, and it is suddenly in big demand.

According to one study, as many as 77 percent of those people who have had Covid-19 were estimated to have some form of smell loss as a result of their infections.

People with smell loss may also develop parosmia, a disturbing disorder that causes previously normal odors to be experienced as unpleasant.

Several studies have demonstrated that smell training can help people who have lost some or all of their senses of smell to other viral illnesses like sinus infections. So while there are no robust studies examining the efficacy of the training among Covid survivors, it is still widely considered the best option for them.

Smell training is somewhat akin to physical therapy for your nose: tedious and repetitive. It involves sniffing several potent scents twice a day, sometimes for months, to stimulate and restore the olfactory system — or at the very least to help it function better.

“It’s not a quick fix,” said Chrissi Kelly, a member of the Global Consortium for Chemosensory Research and the founder of AbScent, a nonprofit group based in England and Wales that offers support and education to people around the world who have smell disorders. “You have to keep up with it.”

If it has been a couple of weeks since you lost your sense of smell and it hasn’t started to come back, then it makes sense to start smell training. When the sense starts to come back, it might happen gradually rather than all at once. At first, scents might seem distorted or foul.

Scientists are still learning about all of the mechanisms by which the coronavirus affects the olfactory system, but they believe parosmia occurs because the neural pathways from the nose to the brain have been disrupted, “kind of like a telephone operator from the 1950s connecting the wrong party to another line,” said Pamela Dalton, a faculty member at the Monell Chemical Senses Center, a nonprofit research institute in Philadelphia.

For most people, parosmia is a symptom of recovery, and that’s why experts believe smell training can be beneficial as you continue to heal.

One of the busiest metro systems in the world, the London Underground, is operating at around 20 percent of normal.
One of the busiest metro systems in the world, the London Underground, is operating at around 20 percent of normal.Credit…Kirsty Wigglesworth/Associated Press

In London, Piccadilly Circus station is nearly empty on a weekday morning, while the Delhi Metro ferries fewer than half the riders it used to. In Rio, bus drivers are on strike, and in New York City, subway traffic is at just a third of normal volume.

A year into the pandemic, public transit is hanging by a thread in many cities. Riders stay home or remain fearful of the close quarters of buses and trains. Without fares, transit revenues have fallen off a cliff. Service has been cut, fares have risen and transport workers are facing layoffs.

That spells disaster for efforts to combat another urgent global crisis: climate change. Public transit is a relatively simple remedy for urban greenhouse gas emissions, not to mention air quality, noise and congestion.

“We are facing maybe the most important crisis in the public transit sector in different parts of the world,” said Sergio Avelleda, director of urban mobility for the World Resources Institute. “It’s urgent to act.”

But act how? Transit agencies temporarily bailed out by governments wonder how long assistance will last, and experts are scrambling to adapt public transport for cities beginning to emerge from the pandemic.

There are a few outliers. In Shanghai, for example, ridership took a nosedive in February 2020, but has rebounded as new coronavirus infections remain low and the economy improves.

But elsewhere the picture is grim.

On the Paris Metro, ridership was just over half of normal levels early this year. Ile-de-France Mobilites, the regional transport agency, said 2020 losses had reached 2.6 billion euros, or over $3 billion.

Amsterdam’s trams and buses have reached about a third of normal volume. Rome’s Metro is drawing fewer than half of its usual passengers.

The London Underground, one of the world’s busiest, is operating at around 20 percent of its usual four million daily journeys. Buses are at around 40 percent of normal.

“It’s been pretty devastating, to be perfectly honest,” said Alex Williams, London’s director of city planning for transport. “One of our concerns are substantial declines in public transport and higher levels of car use.”

Cities could upgrade transportation systems now so passengers will return, said Mohamed Mezghani, head of the International Association of Public Transport.

“People will feel more comfortable traveling in a new modern public transit system” after the pandemic, Mr. Mezghani said. “It’s about perception in the end.”

A patient is intubated at Hospital Clinicas, a main medical facility in central Porto Alegre, Brazil.
A patient is intubated at Hospital Clinicas, a main medical facility in central Porto Alegre, Brazil. Credit…Mauricio Lima for The New York Times

The patients began arriving at hospitals in Porto Alegre far sicker and younger than before. Funeral homes were experiencing a steady uptick in business, while exhausted doctors and nurses pleaded in February for a lockdown to save lives.

But Sebastiao Melo, Porto Alegre’s mayor, argued there was a greater imperative.

“Put your life on the line so that we can save the economy,” Mr. Melo appealed to his constituents in late February.

Now Porto Alegre, a prosperous city in southern Brazil, is at the heart of a stunning breakdown of the country’s health care system — a crisis foretold.

More than a year into the pandemic, deaths in Brazil are at their peak and highly contagious variants of the coronavirus are sweeping the nation, enabled by political dysfunction, widespread complacency and conspiracy theories. The country, whose leader, President Jair Bolsonaro, has played down the threat of the virus, is now reporting more new cases and deaths per day than any other country in the world.

“We have never seen a failure of the health system of this magnitude,” said Ana de Lemos, the executive director of Doctors Without Borders in Brazil. “And we don’t see a light at the end of the tunnel.”

On Wednesday, the country surpassed 300,000 Covid-19 deaths, with roughly 125 Brazilians succumbing to the disease every hour. Health officials in public and private hospitals were scrambling to expand critical care units, stock up on dwindling supplies of oxygen and procure scarce intubation sedatives that are being sold at an exponential markup.

Singer Dolly Parton wore a sparkly navy blue knit top with cold-shoulder cutouts when she received her vaccination on March 2.
Singer Dolly Parton wore a sparkly navy blue knit top with cold-shoulder cutouts when she received her vaccination on March 2.Credit…@Dollyparton, via Reuters

Look out, Zoom shirt. Here comes the vaccine top.

As millions of more Americans become eligible for the coronavirus vaccine, fashion-minded folks are giving extra consideration to what they will wear for their coveted appointments, and the emerging vaccine-ready top seems to be the cold-shoulder top, thanks to Dolly Parton.

On March 2, the 75-year-old country music star posted a four-minute video across her social media channels, getting her first shot of the Moderna vaccine at Vanderbilt Health in Tennessee.

“Dolly gets a dose of her own medicine,” she wrote on Instagram, a reference to the $1 million she donated last year for coronavirus vaccine research to Vanderbilt University Medical Center, which worked with Moderna.

For the occasion, she wore a sparkly navy blue knit top with cold-shoulder cutouts that was custom designed by her creative director, Steve Summers. “I even have a little cutout in my shirt — I matched it over here,” she told the doctor who administered the shot, pointing to her other shoulder.

Her choice kick-started a vaccine fashion moment. The cold-shoulder may not have seen this much action since the 1990s, when Donna Karan sent Linda Evangelista down a fall 1991 runway wearing a white one under a matching jacket. Women’s Wear Daily called it “silly,” but when Liza Minnelli wore a black version to the 1992 Oscars, followed by Candice Bergen to the Emmys (and then Hillary Clinton, in one of her early looks as the first lady), it struck a glamorously accessible chord. During the early 2000s, it was a staple of the so-called going-out-top trend, when night life held sway over fashion.

These days, the cold-shoulder has less to do with “going out” than the ease with which it allows wearers to be vaccinated. Lyst, the fashion search and shopping platform, has seen searches for cold-shoulder tops increase 21 percent since the start of March, according to a company spokeswoman.

When Wendy Brande, 53, a jewelry designer and activist in New York City, went to get vaccinated at the Javits Convention Center in New York City on March 5, she wore a black cold-shoulder sweater that she bought on eBay around 2005. “I just about fell over when I saw Dolly wearing one,” she said. “I knew I kept it for this moment.”

Apparently, she was not the only one. As she was receiving her Pfizer shot, the nurse told her: “Everyone’s wearing these tops.”

— Mia Adorante

Medical staff prepared to administer vaccines at a drive-though site in Cleveland, Miss., on Wednesday. Biden administration officials are anticipating the vaccine supply to outstrip U.S. demand by mid-May.
Medical staff prepared to administer vaccines at a drive-though site in Cleveland, Miss., on Wednesday. Biden administration officials are anticipating the vaccine supply to outstrip U.S. demand by mid-May.Credit…Rory Doyle for The New York Times

Vaccine manufacturers in the United States are set to overproduce Covid-19 vaccines by late spring as much of the world is still in need of doses. Biden administration officials are anticipating the supply to outstrip U.S. demand by mid-May if not sooner, and are grappling with what to do with the surplus when vaccine scarcity turns to glut.

Many countries around the world are having the opposite issue, and deciding the fate of the extra doses is a question with significant implications for the global fight to end the pandemic.

Of the vaccine doses given worldwide, about three-quarters have gone to only 10 countries. At least 30 countries have not yet injected a single person. And as more countries and regions begin limiting their exports, vaccine shortages, especially in poorer countries, threaten to become more acute.

India, a major supplier of the AstraZeneca vaccine, is holding back nearly all of the 2.4 million doses that the Serum Institute of India produces daily to inoculate its own population as coronavirus cases soar. The decision has set off setbacks for vaccination drives in other countries that don’t have the infrastructure to produce their own vaccines.

Covax, the program set up by donor agencies to purchase vaccines for poorer nations, said on Thursday that it had told those countries that the nearly 100 million doses expected in March and April would face delays because of “increased demand for Covid-19 vaccines in India.”

The European Union this week decided to move on emergency legislation that would curb vaccine exports for the next six weeks to address its own vaccine shortfalls. The bloc has exported more doses to Britain than it has delivered to Germany, and it is starting to see another wave of infections in France and Italy.

Here’s what else we learned this week:

  • People who are fully vaccinated against Covid-19 can still contract the virus, but it’s most likely very rare. “Breakthrough” cases, though quite uncommon, are a sharp reminder that vaccinated people should wear masks while the virus is circulating widely.

  • As many as one-tenth of the people who have died from the virus in New York City may be buried on Hart Island, the city’s potter’s field, according to an analysis of city data.

  • A new study will attempt to determine one of the big unanswered questions about vaccines: Can people immunized against the coronavirus still spread it to others? Researchers said they were recruiting 12,000 students on some 20 U.S. college campuses, about half of whom will be immediately vaccinated and the other half four months later. Participants will swab their noses daily and be tested often, and over time, about 25,000 of their close contacts will also be studied.

The police in Hyderabad, India, have attributed five of the city's suicides to lenders that prey on working-class Indians.
The police in Hyderabad, India, have attributed five of the city’s suicides to lenders that prey on working-class Indians.Credit…Saumya Khandelwal for The New York Times

These lenders don’t require credit scores or visits to a bank. But they charge high costs over a brief period. They also require access to a borrower’s phone, siphoning up contacts, photos, text messages, even battery percentage.

Then they bombard borrowers and their social circles with pleas, threats and sometimes fake legal documents threatening dire consequences for nonpayment.

In conservative, tightly knit communities, such loss of honor can be devastating.

“If I am labeled a fraud in front of everyone, my self-respect is gone, my honor is gone,” Kiran Kumar, a 28-year-old cement salesman, said in an interview. “What is left?”

Mr. Kumar initially borrowed about $40 from a lender through an online app to supplement his $200-a-month salary. But he couldn’t pay the mounting fees and interest, so he borrowed from others. Eventually, he owed roughly $4,000.

One morning, he said, the harassing calls began soon after sunrise, with the lenders threatening to make his problems public. Mr. Kumar recalls remaining in bed and, for hours, thinking about how he was going to end his life.

The authorities in India are increasingly worried that many more victims like Mr. Kumar may be out there.

The investigations are raising alarms in India over the vulnerability of a population of 1.3 billion people who are still getting accustomed to digital payments.

The apps being used to take advantage of Indians also speak to the global nature of online fraud. Many of the companies use techniques that flourished in China two years ago before the authorities there shut them down.

In India, one police investigation alone in the city of Hyderabad has mapped out about 14 million transactions across the country worth $3 billion over about six months. India’s central bank and national authorities are now investigating.

“It is becoming difficult for us to count the zeros,” said Avinash Mohanty, the joint commissioner of police in Hyderabad.

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