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Alaska's public health structure was built for complications -- its size and tendency for inclement weather require it. So when it came time to start vaccinating residents, the state didn't have to build a robust public health system from scratch like some others, said Dr. Anne Zink, Alaska's chief medical officer.

A localized approach to vaccination hasn't worked everywhere, but it's worked in Alaska, Zink said. The state distributes vaccines to different regions but doesn't give directives, she said -- it's up to the communities to decide how to administer vaccines based on their needs.

Because so much power has been turned over to different regions of Alaska and the health care providers trusted in those areas, health care workers have been able to "meet people where they're at," Zink said: That means they'll deliver vaccines by boat, dog sled, helicopters and small planes, or go door-to-door in small communities to vaccinate as many community members as possible.

Vaccine eligibility in Alaska is more expansive than it currently is in most other states: Vaccines are available to anyone 55 years or older, people with certain underlying conditions, essential workers, residents of a multigenerational household, anyone who assists a senior in getting vaccinated and anyone who lives in a community where 45% of houses don't have pipes or septic tanks.

In areas where the population is mostly Alaska natives, there's a greater amount of people living in multigenerational housing. That qualifies young people who may live with an at-risk elderly person to get vaccinated, too, said Dr. Bob Onders, administrator of the Alaska Native Medical Center in Anchorage. And since 25% of rural Alaska doesn't have running water or sewage, which can heighten residents' risk for respiratory illness, it didn't make sense to exclude rural residents from the first round of vaccinations, Onders said.

Another way to alleviate that burden is to prioritize zip codes in addition to age and health status, Karmarck said. Vaccinating residents of low-income neighborhoods or areas where the majority of residents are Black, indigenous or people of color could reduce Covid-19's disproportionate impact, though backlash is likely: In Dallas, county officials axed their plan to prioritize residents in "vulnerable zip codes" after the state threatened to reduce its vaccine allocation, the Texas Tribune reported in January.

"Rather than a top-down mechanism, where someone from outside of Alaska or rural Alaska is dictating how things are going, it's much more about giving them supplies," Onders said.

Alaska asked the federal government to be treated "like a territory instead of state," so it would receive a monthly allocation of vaccines versus a weekly or biweekly lot. That made it easier to plan ahead and deliver vaccines "creatively," Zink said.

It can be costly to transport vaccines to some remote reaches of Alaska -- over $15,000 for one trip, in some cases, Zink said. To make vaccinations more cost-efficient, some areas that are less densely populated receive their entire vaccine allotment, which makes it possible to vaccinate entire communities in one go.

"We've been doing redistribution of vaccines for years," said Dr. Anne Zink, Alaska's chief medical officer. "It was pretty easy for us to stand up our existing [public health] structure."

Invest in protecting minority communities. Alaska expanded its eligibility for the first round of vaccines to include Alaska Natives and low-income residents of the state that are more vulnerable to Covid-19. While there's still work to do to alleviate that disproportionate risk, Onders said so far, it's working.

Alaska Natives have borne the brunt of Covid-19 in the state -- the Kaiser Family Foundation's Covid-19 data tracker shows that Alaska Natives make up more than a quarter of Covid-19 cases but 15% of the population, compared to White residents, who made up 38% of cases but 68% of the population.

Enlist trusted members of communities to educate. In communities where residents are hesitant to get the vaccine, particularly among Black and Latino Americans, sharing information about vaccine access is crucial to address Covid-19 racial disparities, Karmarck said.

Customize the approach. States that were lagging in vaccinations are catching up, Karmarck said, as they formalize an approach to vaccination that best fits their state. In Massachusetts, for example, large vaccination sites have opened up at Fenway Park and Gillette Stadium to accommodate more people and storage the vaccines require. It's improved the state's vaccination rates, she said.

The contracts, while substantial, aren't overtly egregious in terms of cost and expectation, considering the home is 9,000-plus square feet and was built in 1893. Tax records from 2018 indicate $119,000 in expenses were used to provide updates and improvements in and around the grounds of the residence, for example. However, the current contracts do not address specifically why the vice president is still not living there, which is leading to growing questions -- and agitation -- about the pace of the work.

Harris has recently been spotted at her future home, popping in for an hour-long visit three weeks ago, per CNN. Two administration staff with knowledge of the ongoing updates told CNN that Harris -- who likes to cook -- requested work be done on the kitchen.

It is not unusual for there to be at least a couple of weeks between residents, so the Naval staff who operate the home can refresh, said Elizabeth Haenle, who served as vice president residence manager and social secretary for former Vice President Dick Cheney. "From time to time, the Navy will ask the vice president and their respective families to delay moving in so that they have time for maintenance and upgrades that are not easy to perform once the vice president takes up residence," Haenle said.

Shortly after inauguration, a Harris aide told CNN the vice president wouldn't be immediately moving in, citing the need for some repairs to the home "that are more easily conducted with the home unoccupied." A move-in date was still to be determined at the time. Another administration official told CNN some of the work included renovating the home's chimneys -- there are seven working fireplaces -- as well as other updates.

Although Blair House provides comfortable, even luxurious, accommodations, Harris and Emhoff's current surroundings lack the creature comforts of a home. Antiques and museum-quality pieces of American history deck each of the 100-plus rooms, which include a gym and a private hair salon. And although the professional, full-time staff of more than a dozen provide amenities as accommodating as a luxury hotel, Blair House does not offer the laid-back vibe Harris and Emhoff are said to prefer when they are home. The couple enjoy a more casual, West Coast informality, with frequent visits from family and large Sunday suppers, the former California senator has said.

The main bedroom suite at Blair House was redecorated by celebrity interior designer Thomas Pheasant, brought on in 2012 to make updates to overall décor, and includes a massive, canopied bed draped in luxe fabrics and furnishings that are more reminiscent of Mount Vernon than a California modern mood. Her condo in Washington, DC, which she moved out of to live at Blair House, was inside a sleek, eco-chic, minimalist building in the city's West End neighborhood.

When the second couple does finally move into One Observatory Circle, where the vice president's residence is located on the grounds of the Naval Observatory, they will find a home quite unlike their city condo or Blair House, but also very different from the White House. There are far fewer formalities, fewer staff and more freedom.

The dozens of acres that make up the grounds of the Naval Observatory offer privacy and the ability to move about with more leisure than can the President and first lady at the White House. Biden last month at a CNN Town Hall referred to the White House as a "gilded cage," and lamented not having the same accoutrements at his disposal as when he lived at the vice president's residence for eight years.

It was former Vice President Dan Quayle who had the heated pool installed, and it became Biden's treasured refuge. While vice president, Biden would throw raucous summer pool parties for staff and their families, bringing out water cannons and partaking in drenching shoot-outs with the children who attended. In 2017, shortly after moving in, then-second lady Karen Pence shared in an interview Biden's parting words to her just after her husband, Mike Pence, was sworn in: "That's the thing that Joe Biden said to us as he got into the limo and left the Capitol on Inauguration Day — he said, 'You're gonna love the pool.'"

Harris, who early in her vice presidency was spotted running up and down the steps at the Lincoln Memorial for her workout, Secret Service agents nearby, will have the outdoor space to jog, swim and workout at her new home -- without the public spotting her and posting videos on social media. Harris has said she works out every morning, and swimming can sometimes be a part of her routine -- another reason the vice presidential pool is a perk.

Should she wish to add her personal signature to the residence or its grounds -- such as Quayle did with the pool or George H.W. Bush did with an outdoor horseshoe pit or the Bidens did with a garden where the names of all the home's occupants, pets included, are engraved -- updates and tweaks can circumvent the elaborate process of approvals that any changes at the White House must go through.

However, as with the White House, a separate foundation has been established to cover most updates with government-provided funds. Also like the White House, the vice president has at her disposal roomfuls of historic furnishings and decorative arts from which to choose from as part of a private collection reserved for the President and vice president to make their temporary homes feel homey and to their personal tastes. Karen Pence once said she left the residence rooms set up in much the same way as the Biden's had it before them, since the Pences liked the layout and saw no reason to upend it.

Harris is known to derive satisfaction from cooking, and she's no doubt hungering for the personal space to do that. She once said in an interview with New York Magazine's "The Cut," "If I'm cooking, I feel like I'm in control of my life." Harris and Emhoff are fond of their nights in, and enjoy sharing time in the kitchen and good food. The couple, separately and together, are frequent patrons of Stachowski's Market, a butcher shop and mini-gourmet provisions store located on a quaint corner in Georgetown.

For at-home entertaining, the residence offers "a wrap-around veranda that faces away from the busy streets of Northwest Washington," notes Haenle. "It is a special place and makes for great Sunday afternoon family gatherings," while still being formal enough to welcome heads of state.

According to the World Health Organization, “lead affects children’s brain development resulting in reduced intelligence quotient (IQ), behavioral changes such as shortening of attention span and increased antisocial behavior, and reduced educational attainment. Lead exposure also causes anemia, hypertension, renal impairment, immunotoxicity and toxicity to the reproductive organs. The neurological and behavioral effects of lead are believed to be irreversible.”

The Hurley Medical Center, in Flint, released a study in September that confirmed what many Flint parents had feared for over a year: The proportion of infants and children with above-average levels of lead in their blood has nearly doubled since the city switched from the Detroit water system to using the Flint River as its water source, in 2014.

The crisis reached a nadir Monday night, when Flint Mayor Karen Weaver declared a state of emergency. “The City of Flint has experienced a Manmade disaster,” Weaver said in a declaratory statement. 1 of 11 Full Screen Autoplay Close Skip Ad × fa fa

The mayor — elected after her predecessor, Dayne Walling, experienced fallout from his administration’s handling of the water problems — said in the statement that she was seeking support from the federal government to deal with the “irreversible” effects of lead exposure on the city’s children. Weaver thinks that these health consequences will lead to a greater need for special education and mental health services, as well as developments in the juvenile justice system.

To those living in Flint, the announcement may feel as if it has been a long time coming. Almost immediately after the city started drawing from the Flint River in April 2014, residents began complaining about the water, which they said was cloudy in appearance and emitted a foul odor.

Since then, complications from the water coming from the Flint River have only piled up. Although city and state officials initially denied that the water was unsafe, the state issued a notice informing Flint residents that their water contained unlawful levels of trihalomethanes, a chlorine byproduct linked to cancer and other diseases.

Protesters marched to City Hall in the fierce Michigan cold, calling for officials to reconnect Flint’s water to the Detroit system. The use of the Flint River was supposed to be temporary, set to end in 2016 after a pipeline to Lake Huron’s Karegnondi Water Authority is finished.

Through continued demonstrations by Flint residents and mounting scientific evidence of the water’s toxins, city and state officials offered various solutions — from asking residents to boil their water to providing them with water filters — in an attempt to work around the need to reconnect to the Detroit system.

That call was finally made by Snyder (R) on Oct. 8. He announced that he had a plan for coming up with the $12 million to switch Flint back to the Detroit system. On Oct. 16, water started flowing again from Detroit to Flint.

Doctors in the top 10 percent averaged $1.3 million

And those in the top 1 percent averaged an astounding $4 million, though most of that (85 percent) came from business income or capital gains.

In certain specialties, doctors see substantially more in their peak earning years: Neurosurgeons (about $920,000), orthopedic surgeons ($789,000) and radiation oncologists ($709,000) all did especially well for themselves. Specialty incomes cover 2005 to 2017 and are expressed in 2017 dollars.

family-practice physicians made around $230,000 a year. General practice ($225,000) and preventive-medicine ($224,000) doctors earned even less — though that’s still enough to put them at the top of the heap among all U.S. earners.

“There is this sense of, well, if you show that physician incomes put them at the top of the income distribution, then you’re somehow implying that they’re instead going into medicine because they want to make money. And that narrative is uncomfortable to people.”

why did those figures ruffle so many physician feathers?

“You can want to help people and you can simultaneously want to earn money and have a nicer lifestyle and demand compensation for long hours and long training. That’s totally normal behavior in the labor market.”

Yale University economist Jason Abaluck notes that when he asks the doctors and future doctors in his health economics classes why they earn so much, answers revolve around the brutal training required to enter the profession. “Until they finish their residency, they’re working an enormous number of hours and their lifestyle is not the lifestyle of a rich person,” Abaluck told us.

why do physicians make that much?

On average, doctors — much like anyone else — behave in ways that just happen to drive up their income. For example, the economists found that graduates from the top medical schools, who can presumably write their own ticket to any field they want, tend to choose those that pay the most.

“Our analysis shows that certainly physicians respond to earnings when choosing specialties,” Polyakova told us. “And there’s nothing wrong with that, in my opinion.

“In general, U.S. physicians are making about 50 percent more than German physicians and about more than twice as much as U.K. physicians,

Grover said the widest gaps were “really driven by surgeons and a handful of procedural specialties,” doctors who perform procedures with clear outcomes, rather than preventing disease or treating chronic condition

“we’re not about prevention, you know?” he said, noting that his own PhD is in public health. “I wish it was different, but it ain’t!”

The United States has fewer doctors per person than 27 out of 31 member countries tracked by the Organization for Economic Cooperation and Development

In 1970, based on a slightly different measure that’s been tracked for longer, America had more licensed physicians per person than all but two of the 10 countries for which we have data. What caused the collapse?

the United States has far fewer residency slots than qualified med school graduates, which means thousands of qualified future physicians are annually shut out of the residency pipeline, denied their chosen career and stuck with no way to pay back those quarter-million-dollar loans.

“I’d like to see an in-depth analysis of the effect of the government capping the number of residency spots and how it’s created an artificial ‘physician shortage’ even though we have thousands of talented and graduated doctors that can’t practice due to not enough residency spots,”

Such an analysis would begin with a deeply influential 1980 report,

That report, by a federal advisory committee tasked with ensuring the nation had neither too few nor too many doctors, concluded that America was barreling toward a massive physician surplus. It came out just before President Ronald Reagan took office, and the new administration seemed only too eager to cut back on federal spending on doctor-training systems.

ssociation of American Medical Colleges (AAMC), a coalition of MD-granting medical schools and affiliated teaching hospitals, slammed the brakes on a long expansion. From 1980 to around 2004, the number of medical grads flatlined, even as the American population rose 29 percent.

Federal support for residencies was also ratcheted down, making it expensive or impossible for hospitals to provide enough slots for all the medical school graduates hitting the market each year. That effort peaked with the 1997 Balanced Budget Act which, among other things, froze funding for residencies — partially under the flawed assumption that HMOs would forever reduce the need for medical care in America, Orr writes. That freeze has yet to fully unwind.

or decades, many policymakers believed more doctors caused higher medical spending. Orr says that’s partly true, but “the early studies failed to differentiate between increased availability of valuable medical services and unnecessary treatment and services.”

“In reality, the greater utilization in places with more doctors represented greater availability, both in terms of expanded access to primary care and an ever-growing array of new and more advanced medical services,” he writes. “The impact of physician supply on levels of excessive treatment appears to be either small or nonexistent.”

“People have a narrative that physician earnings is one of the main drivers of high health-care costs in the U.S.,” Polyakova told us. “It is kind of hard to support this narrative if ultimately physicians earn less than 10 percent of national health-care expenditures.”

Polyakova and her collaborators find doctor pay consumes only 8.6 percent of overall health spending. It grew a bit faster than inflation over the time period studied, but much slower than overall health-care costs.

Regardless, the dramatic limits on medical school enrollment and residencies enjoyed strong support from the AAMC and the AMA. We were surprised to hear both organizations now sound the alarm about a doctor shortage. MD-granting medical schools started expanding again in 2005.

it’s because states have responded to the shortage by empowering nurse practitioners and physician assistants to perform tasks that once were the sole province of physicians. Over the past 20 years, the number of registered nurses grew almost twice as quickly as the number of doctors, and the number of physician assistants grew almost three times as rapidly, our analysis showed.

While there still aren’t enough residency positions, we’re getting more thanks in part to recent federal spending bills that will fund 1,200 more slots over the next few years.

Voters in some major cities, in addition to choosing their next mayor, will also have the opportunity to weigh in on an important issue that has been heavily debated in their communities.

Proposition 6 would codify the right for long-term care residents to designate an essential caregiver for in-person visitation.

Texas -- Proposition 3 Read MoreWritten in response to Covid-19 restrictions, Texans will consider a constitutional amendment that would prohibit the state or a political subdivision, such as an elected official, from "prohibiting or limiting religious services of religious organizations."

Like Proposition 3, Proposition 6 was also influenced by the Covid-19 restrictions enforced during the height of the pandemic.

Texas -- Proposition 3 Read MoreWritten in response to Covid-19 restrictions, Texans will consider a constitutional amendment that would prohibit the state or a political subdivision, such as an elected official, from "prohibiting or limiting religious services of religious organizations." Enter your email or view the Vault By CNN webpage to own a piece of CNN History with blockchain technology.close dialogExplore Vault by CNN . Presidential elections, space discoveries, CNN exclusives and more.Explore NowGet UpdatesBe the first to know about upcoming releases from our Vault, with updates delivered right to your inbox.Please enter aboveSign Me UpBy subscribing, you agree to our privacy policy.Success!See you in your inbox.close dialog/* effects for .bx-campaign-1426699 *//* custom css .bx-campaign-1426699 *//* custom css from creative 60682 *//* V Text Alignment Fix */ .bx-custom.bx-campaign-1426699 .bx-row-input + .bx-row-submit { vertical-align: top;}/* custom css from creative 60872 *//************************************ CREATIVE STRUCTURE Do not remove or edit unless non applicable to creative set.************************************//* rendered styles .bx-campaign-1426699 */.bxc.bx-campaign-1426699.bx-active-step-1 .bx-creative:before {min-height: 185px;}.bxc.bx-campaign-1426699.bx-active-step-1 .bx-creative {bo

Cleveland -- Issue 24 Ballot initiative Issue 24 would establish a new civilian commission, called the Community Police Commission, whose members will have final authority over the police department's policy and procedures, hiring and training, and disciplinary action.

Question 2 would replace Minneapolis Police Department with a new "Department of Public Safety" overseen by the mayor and city council.

Proposal 7, also known as Local Law J, asks city residents whether to expand a civilian police review board's authority to conduct investigations and "to exercise oversight, review, and resolution of community complaints alleging abuse of police authority."

Austin, Texas -- Proposition A Voters in Austin, Texas are being asked whether to bulk up the city's police department with Proposition A, as its supporters argue that the city is in the midst of a "crime wave" and a shortage of police officers.Proposition A would require that the Austin police department employs at least two police officers for every 1,000 residents.

Detroit -- Proposal R A "yes" vote on Proposal R would be in favor of the Detroit City Council establishing a task force that would recommend housing and economic programs that "address historical discrimination against the Black community in Detroit."

New Jersey -- Question No. 1 Question No. 1 asks New Jersey voters whether to allow betting on college sports. Currently, sports betting on college events in the state and on college events in which New Jersey teams participate is prohibited.

Richmond, Virginia -- Local ReferendumResidents of Virginia's capital city will decide whether to approve the construction of a new casino and 250-room luxury hotel in south Richmond along the I-95 highway.

New York -- Ballot Proposal 1New Yorkers are being reminded to flip over their ballots to answer five statewide ballot proposals.

New York -- Ballot Proposal 3New York currently requires that its residents register to vote at least 10 days before an election. Ballot Proposal 3 would remove that requirement, clearing the way for state lawmakers to enact new laws that would allow a resident to register to vote in less than 10 days -- such as same-day voter registration.

New York -- Ballot Proposal 4As it stands now, New York voters may vote by absentee ballot if they are unable to appear at their polling place due to illness or physical disability or expect to be absent from their county of residence, or New York City if they're residents, on Election Day.Ballot Proposal 4 asks whether to eliminate the requirement that a voter provide a reason if they wish to vote by absentee ballot.

Philadelphia -- Question #1: Asks whether to amend the city charter so it urges the Pennsylvania legislature and governor to legalize cannabis for recreational use in the state.

With Georgia voters set to decide control of the US Senate in Tuesday's runoffs, the challenges to the voting rolls in Hancock County, whose residents have long fought for their right to vote, remain under the supervision of a court-appointed examiner. Legal experts say the US Supreme Court pulling teeth from the Voting Rights Act is to blame.

Black households had a median income of $22,056 ($37,083 for White); almost 34% of Black residents lived in poverty (22% for White); and 26% of Black households received food benefits (6% for White).

Ahead of the 2015 Sparta elections, the lawsuit said, BOER Vice Chairwoman Nancy Stephens, who is White, began filing voter challenges as a citizen, then voting on them as a board member. When concerns were raised, a local resident began filing challenges "in a format that closely resembled the format of those filed by the Vice Chair," the lawsuit said.

The challengers "consistently failed to provide credible evidence based upon personal knowledge that the challenged voters were not qualified to vote," the lawsuit said.

The BOER, responding to the lawsuit, "vigorously" and "strenuously" denied illegally targeting Black voters or violating state laws.

He went through the 2014 voting roll and pulled voters he knew were dead or had moved and submitted 14 challenges.

"Sitting after two of the meetings, I thought, 'What would they do if someone challenged some White voters?'" recalled Webb, who is Black.

Thornton can't understand why the BOER would claim he didn't live in the county, or why the board would try to remove him from the rolls. His catfish farm is in unincorporated Mayfield, 20 minutes outside Sparta, and he wasn't eligible to vote in the city elections.

BOER members didn't take Webb's challenges seriously and defended White voters.

The BOER determined before the hearing that four of Webb's challenged voters were dead and removed them from the rolls. Of the remaining challenges, the board nixed one voter from the rolls and moved another to inactive status. Both were Asian American, the lawsuit said.

"What they did was beyond voter suppression. If something is wrong with your voter registration, they should call you and tell you what's wrong. What they were doing is taking you off the rolls, and you wouldn't find out until the election," Webb told CNN. "They were making Black votes disappear."

Since the death of the Georgia civil rights icon US Rep. John Lewis, politicians and activists have called for Congress to honor Lewis by crafting an updated coverage formula, as permitted by the high court, but it hasn't come to pass.

Julie Houk with the Lawyers Committee for Civil Rights Under Law, who worked on the Hancock County case, disagrees with the Supreme Court's finding "that the conditions that originally justified these measures no longer characterize voting in the covered jurisdictions."

The Lawyers' Committee has also challenged restrictive absentee ballot rules and fought voter purges, redistricting decisions and efforts to limit ballot drop boxes -- which tend to burden minorities the most.

In Macon-Bibb County, Georgia, Houk said, elections officials moved a Black voting precinct -- in a community that had rocky relations with law enforcement -- to the sheriff's office, which she called "very problematic" as it threatened to dissuade African Americans from voting.

In 2015, Georgia's then-Secretary of State Brian Kemp cited Shelby in informing counties they were "no longer required to submit polling place changes to the Department of Justice."

The ACLU of Georgia reported in September that of 313,243 voters removed from the state rolls in 2019, almost 200,000 were likely erroneously purged.

Two weeks before the November general election, ProPublica, in collaboration with public broadcasters, reported, "The state's voter rolls have grown by nearly 2 million since the US Supreme Court gutted the Voting Rights Act in 2013, but polling locations have been cut by almost 10%, with Metro Atlanta hit particularly hard."

This is why preclearance was so important: Discriminating against Black voters would've been rejected

The truth about 2015 "depends on what side you talk to," he said. No candidate could win in the city, now estimated at 89% African American, without securing a swath of the Black vote, said Haywood, who is White and is certain he was elected on his promise of reform, he said.

"We are way past problems with Black and White here," Haywood said. "Now, people are excited things are getting fixed."

Before the Voting Rights Act of 1965, it had no Black elected officials until John McCown -- an activist more in the mold of Stokely Carmichael than Martin Luther King Jr. -- came to town, luring investment and ushering Black residents to power.

McCown remains revered among many Black residents, despite investigations into his alleged misspending of grant money and other improprieties. They consider his achievements landmarks, including an affordable housing project and job creators like a cinder block factory and Thornton's now-defunct catfish farm. McCown's antebellum home still stands, abandoned and in need of upkeep.

A 1976 plane crash killed McCown, and a federal investigation into his fundraising killed the county's resurrected prosperity, but his legacy survived in the Black leaders succeeding him. "He created a political strategy, and African Americans voted themselves into power," Thornton said. "It has come to a point where (Hancock County) is one of the most impoverished in America. There is a wives' tale -- I don't know if it's true or not -- that some political leaders in Georgia have always said that if we can't vote the people of Hancock County out, we'll starve them out -- and there's been a disproportionate lack of growth to this particular community."

The BOER "strenuously denied" that it was illegally targeting Black voters with its challenges but agreed to enter the consent decree and abide by the standards and procedures the decree lays out. The court also ordered the defendants to pay more than $500,000 in attorneys' fees and other expenses, court documents show.As part of the consent decree, the BOER agreed to "not engage in discriminatory challenges to voters' eligibility," and to adhere to certain procedures in such challenges, according to court documents. It also restored certain voters to its rolls and agreed not to take action on other voters restored to the rolls for at least two federal election cycles.

"It had a chilling effect on voters," she said. "A lot of folks decided voting wasn't worth it."

"It will affect several elections down the road because people will say that I'm not going to be bothered by this ever again. I'm not going to vote," Warren said. "You have virtually destroyed their whole trust in the system altogether."

The county has submitted voters it wants removed, as instructed, and during the November election, the NAACP "seemed to think everything went OK," he said. Spencer's team is "always concerned," he said, and events happening at the state and national level, including Georgia's secretary of state calling to end no-excuse absentee voting and President Donald Trump challenging elections results, only exacerbate his worry.

"I am definitely worried that once the consent decree ends that the BOER will start its same antics again," he said. "They can say, 'Hey, we'll get everybody except Johnny Thornton, and the other people that we go for might not have the legal means or expertise to push back or to fight against the system.'"

Warren, in addition to previously serving as Sparta's registrar, is a Black county resident who began filming BOER meetings in 2015 when he learned of the challenges. He had trouble last year, he said, when applying for a mail-in ballot. A county elections official told him his home wasn't his registered address, he said. He isn't alleging any misbehavior -- he was able to sort it out before the general election -- but such a county notice might have been enough to deter a less-resolute voter from casting her or his ballot. In poor, rural areas like Hancock County, minor hiccups such as a rainy day or a washed-out road can have major effects on voting.

They were moved into an unfamiliar setting, their belongings whittled down to a few pieces of clothing and mementos thrown in a plastic bag; a new set of masked nurses came in and out of their rooms. Only a handful of residents had cellphones, so Danielle used her own to help residents use FaceTime with family members and friends.

“Nursing homes are really little hospitals, yet they’re not staffed like it. If you asked an I.C.U. nurse to take care of 15 people, she’d laugh at you, but that’s essentially what we have,” Chris Laxton, the executive director of AMDA, the Society for Post-Acute and Long-Term Care Medicine, told me.

At the same time, many of these caregivers “are making $12 or $13 an hour,”

workers probably helped spread the virus from facility to facility, home to home.

Under President Trump, C.M.S. had already cut monetary fines for facilities with health and safety violations. Now it called off regular inspections in favor of a narrow, superficial infection-control survey. It also allowed for “temporary nursing assistants” with little training to fill in for certified aides.

But if now is not the time, when, and under what conditions, should nursing homes and assisted-living facilities be held accountable for the welfare of their residents and workers?

Factor in the risk of getting sick and dying, and retention, let alone recruitment, becomes far more difficult. In 2020, direct caregiving may have been the most dangerous job in America.

Joe Biden is about the age of the average nursing home resident. Over the summer, he announced a $775 billion proposal to provide care for children, seniors and people with disabilities. The plan, though notional at this point, would eliminate the 800,000-person waiting list for long-term care under Medicaid and pay for 150,000 new community health workers for seniors. It could also help transform millions of low-wage, high-turnover, often transient gigs into stable careers.

C.M.S. must ensure that the $264 billion paid by Medicaid and Medicare to long-term-care providers actually goes to caregiving, instead of shiny new buildings or executive pay.

To improve residents’ quality of life, the government should mandate that long-term-care facilities have appropriate staffing.

In addition, Mr. Biden must reverse Mr. Trump’s laissez-faire approach to this sector. Both C.M.S. and the Occupational Safety and Health Administration should be given the resources they need to inspect, investigate and fine providers for health and workplace violations. The incoming administration must also strengthen workers’ rights to organize and protest unsafe conditions under the National Labor Relations Act, as it has already promised to do.

“There are jobs that offer $45 per hour to do Covid testing,” she said. As if to nudge her out the door, her nursing home was recently purchased by a large corporation, nullifying the union contract, and management reneged on the promise of holiday bonuses.

Many new residents cite cost of a living as a key factor behind their moves, but home insurance costs are rising faster there than the national average, meaning homeowners should brace for sticker shock.In Florida, the average home insurance premium in 2019 was $1,988. Today, it’s $2,714 — an increase of $726.

The risk is highest in the Sun Belt region, which is experiencing rapid growth, yet Americans are moving directly into areas of danger. Hurricane Ian alone killed more than 150 Floridians, knocked out power for 2.6 million residents and left Florida with a bill of nearly $113 billion in its wake.

Those states are also experiencing extreme weather: Hurricanes like Ian, Nicole and Fiona, as well as record heat, ice and snow storms, wrought billions of dollars of destruction in 2022 and killed nearly 500 Americans.

California bucked the trend in several ways. Despite being battered by wildfires and extreme storms in recent years, home insurance rates there grew by only 25 percent, below the increase in other coastal states. California lost 343,230 residents, accounting for a 0.3 percent dip, last year.

In South Dakota, 8,424 new residents moved into the sparsely populated state in 2022, while insurance costs have jumped 39 percent since 2015. In dry, sunny Arizona, where nearly 71,000 new residents flocked in 2022, costs grew 28 percent

Florida grew by more than 318,000 new residents in 2022, accounting for a population increase of 1.9 percent last year — the largest uptick in the nation. Texas, with more than 230,000 new residents, was right on its tails.

The US has lost more than 529,000 people to the virus, Johns Hopkins University data shows. It's more than the number of Americans killed in World War I and World War II combined. And the death toll is rising by the thousands each week.

Now, the country is at a pivotal point.

"While these trends are starting to head in the right direction, the number of cases, hospitalizations and deaths still remain too high and are somber reminders that we must remain vigilant as we work to scale up our vaccination efforts across this country," Walensky said.

So far, almost one in 10 Americans have been fully vaccinated -- a number that is still too low to suppress the spread of the virus. And some experts have warned another possible surge could be weeks away, fueled by a highly contagious variant spreading across the country.

"We must continue to use proven prevention measures to slow the spread of Covid-19," Walensky added. "They are getting us closer to the end of this pandemic."

For Americans who have been fully vaccinated, the new guidance released by the Centers for Disease Control and Prevention earlier this week marks a small first step toward a return to pre-pandemic life, the agency's director and other colleagues wrote in a JAMA Viewpoint article published Wednesday.

"What we have seen is that we have surges after people start traveling. We saw it after July 4, we saw it after Labor Day, we saw it after the Christmas holidays," Walensky said in the briefing. "Currently 90% of people are still unprotected and not yet vaccinated. So we are really looking forward to updating this guidance as we have more protection across the communities and across the population."

"With high levels of community transmission and the threat of SARS-CoV-2 variants of concern, CDC still recommends a number of prevention measures for all people, regardless of vaccination status," they wrote.

"As vaccine supply increases, and distribution and administration systems expand and improve, more and more people will become fully vaccinated and eager to resume their prepandemic lives," Walensky and CDC officials Drs. Sarah Mbaeyi and Athalia Christie wrote.

More than 62 million Americans have received at least one dose of a Covid-19 vaccine, CDC data shows. Roughly 32.9 million are fully vaccinated.

As vaccination numbers climb, more state leaders are loosening the requirements for who can get a shot.

At least 47 states plus DC are allowing teachers and school staff to receive Covid-19 vaccines. By next Monday, teachers will be eligible in all 50 states.

In Georgia, officials announced the state will expand its vaccine eligibility starting March 15 to include people 55 and older as well as individuals with disabilities and certain medical conditions.

"Provided supply allows, vaccine eligibility is expected to open to all adults in April," Gov. Brian Kemp's office said in a statement.

Other states also announced expanded vaccine eligibility this week, including Alaska, who took it the furthest by making vaccines available to everyone living or working in the state who is at least 16. It's the first state in the nation to do so.

The guidance allows for indoor visitation regardless of the vaccination status of the resident or visitor, with some exceptions.

For example, visitations may be limited for residents with Covid-19 or who are in quarantine or for unvaccinated residents living in facilities where less than 70% of residents are fully vaccinated, in a county that has a Covid-19 positivity rate greater than 10%.

"CMS recognizes the psychological, emotional and physical toll that prolonged isolation and separation from family have taken on nursing home residents, and their families," CMS Chief Medical Officer Dr. Lee Fleisher said in a statement.

"That is why, now that millions of vaccines have been administered to nursing home residents and staff, and the number of COVID cases in nursing homes has dropped significantly, CMS is updating its visitation guidance to bring more families together safely."

With its pages and pages of statistical charts, Race Traits helped catapult Hoffman into national and international prominence as the “dean” of American statisticians. In his day, Hoffman “achieved greatness,” assessed his biographer. “His career illustrates the fulfillment of the ‘American dream.’”

e don’t see any American dream,” Malcolm X said in 1964. “We’ve experienced only the American nightmare.”

A nightmare is essentially a horror story of danger, but it is not wholly a horror story. Black people experience joy, love, peace, safety. But as in any horror story, those unforgettable moments of toil, terror, and trauma have made danger essential to the black experience in racist America. What one black American experiences, many black Americans experience. Black Americans are constantly stepping into the toil and terror and trauma of other black Americans

Because they know: They could have been them; they are them. Because they know it is dangerous to be black in America, because racist Americans see blacks as dangerous.

To be black and conscious of anti-black racism is to stare into the mirror of your own extinction.

Ask the souls of the 10,000 black victims of COVID-19 who might still be living if they had been white. Ask the souls of those who were told the pandemic was the “great equalizer.” Ask the souls of those forced to choose between their low-wage jobs and their treasured life. Ask the souls of those blamed for their own death. Ask the souls of those who disproportionately lost their jobs and then their life as others disproportionately raged about losing their freedom to infect us all. Ask the souls of those ignored by the governors reopening their states.

The American nightmare has everything and nothing to do with the pandemic. Ask the souls of Breonna Taylor, Ahmaud Arbery, and George Floyd. Step into their souls.

History ignored you. Hoffman ignored you. Racist America ignored you. The state did not want you to breathe. But your loved ones did not ignore you. They did not ignore your nightmare. They share the same nightmare.

Your loved ones are protesting your murder, and the president calls for their murder, calls them “THUGS,” calls them “OUT OF STATE” agitators. Others call the violence against property senseless—but not the police violence against you that drove them to violence. Others call both senseless, but take no immediate steps to stem police violence against you, only to stem the violence against property and police.

Hoffman compiled racial health disparities to argue that black Americans are, by their very nature and behavior, a diseased and dying people. Hoffman cataloged higher black mortality rates and showed that black Americans were more likely to suffer from syphilis, tuberculosis, and other infectious diseases than white Americans.

perhaps the worst of the nightmare is knowing that racist Americans will never end it. Anti-racism is on you, and only you. Racist Americans deny your nightmare, deny their racism, claim you have a dream like a King, when even his dream in 1967 “turned into a nightmare.”

Black people are supposed to be feared by all, murdered by police officers, lynched by citizens, and killed by COVID-19 and other lethal diseases. It has been proved. No there there. Black life is the “hopeless problem,” as Hoffman wrote.

In the first nationwide compilation of racial crime data, Hoffman used the higher arrest and incarceration rates of black Americans to argue that they are, by their very nature and behavior, a dangerous and violent people—as racist Americans still say today.

Mayors issue curfews. Governors rattle their sabers. The National Guard arrives to protect property and police. Where was the National Guard when you faced violent police officers, violent white terrorists, the violence of racial health disparities, the violence of COVID-19—all the racist power and policy and ideas that kept the black experience in the American nightmare for 400 years?

While black Americans view their experience as the American nightmare, racist Americans view black Americans as the American nightmare.

Racist Americans, especially those racists who are white, view themselves as the embodiment of the American dream. All that makes America great. All that will make America great again. All that will keep America great.

Their American dream—that this is a land of equal opportunity, committed to freedom and equality, where police officers protect and serve—is a lie. Their American dream—that they have more because they are more, that when black people have more, they were given more—is a lie. Their American dream—that they have the civil right to kill black Americans with impunity and that black Americans do not have the human right to live—is a lie.

Take Minneapolis. Black residents are more likely than white residents to be pulled over, arrested, and victimized by its police force. Even as black residents account for 20 percent of the city’s population, they make up 64 percent of the people Minneapolis police restrained by the neck since 2018, and more than 60 percent of the victims of Minneapolis police shootings from late 2009 to May 2019. According to Samuel Sinyangwe of Mapping Police Violence, Minneapolis police are 13 times more likely to kill black residents than to kill white residents, one of the largest racial disparities in the nation. And these police officers rarely get prosecuted.

A typical black family in Minneapolis earns less than half as much as a typical white family—a $47,000 annual difference that is one of the largest racial disparities in the nation. Statewide, black residents are 6 percent of the Minnesota population, but 30 percent of the coronavirus cases as of Saturday, one of the largest black case disparities in the nation, according to the COVID Racial Data Tracker.

In April, many Americans chose the racist explanation: saying black people were not taking the coronavirus as seriously as white people, until challenged by survey data and majority-white demonstrations demanding that states reopen. Then they argued that black Americans were disproportionately dying from COVID-19 because they have more preexisting conditions, due to their uniquely unhealthy behaviors. But according to the Foundation for AIDS Research, structural factors such as employment, access to health insurance and medical care, and the air and water quality in neighborhoods are drivers of black infections and deaths, and not “intrinsic characteristics of black communities or individual-level factors.”

Americans should be asking: Why are so many unarmed black people being killed by police while armed white people are simply arrested? Why are officials addressing violent crime in poorer neighborhoods by adding more police instead of more jobs? Why are black (and Latino) people during this pandemic less likely to be working from home; less likely to be insured; more likely to live in trauma-care deserts, lacking access to advanced emergency care; and more likely to live in polluted neighborhoods? The answer is what the Frederick Hoffmans of today refuse to believe: racism.

Xinhua, China’s official news agency, said environmental authorities were engaged in a “tough” crackdown on firms that continued to ignore the compulsory three-day shutdown, which began at 7am on Monday.

One of those drivers, who gave his name only as Mr Qian, was fined 100 yuan (about £10) for taking his car out on the wrong day.

“I think we should comply with the government’s policy,” Qian added. “After all, the pollution is really bad.”

Still, the government’s unprecedented step was a sign that “the country now faces its problems head-on and respects the public’s appeals and demands”, it said.

But many reacted to the latest “airpocalypse” with resignation. “This is modern life for Beijing people,” office worker Cao Yong told Associated Press. “We wanted to develop and now we pay the price.”

Twenty percent of Manhattan adults have been fully vaccinated, compared with 12 percent of Brooklyn adults. One of the clearest demographic trends in who is getting vaccinated is age.

There are more than 1.2 million New Yorkers age 65 and older, rivaling the entire population of Dallas. Older adults were among the first in line for the vaccine, and in general, areas of the city with more older residents have a higher percentage of vaccinations than others.

While about half of all of these New Yorkers have had at least one dose, about 70 percent of those over 65 are not yet fully vaccinated, suggesting the city still has a ways to go even as eligibility expands to younger groups.

Neighborhoods with mostly white residents, like the Upper East and Upper West Side, Riverdale in the Bronx, Breezy Point in Queens, mid-island and the south shore of Staten Island, are outpacing city averages.

The majority Black and Latino neighborhoods in large swaths of Queens, Brooklyn, upper Manhattan and the southern Bronx are in some cases 20 to 30 percentage points behind neighborhoods at the top of the list

Reasons for the disparities vary, and they will not all be clear from simply looking at a map. Many seniors are homebound or have had trouble navigating complex and confusing websites to sign up for the vaccine (obstacles not just for seniors, really).

For non-English speakers, language barriers can create fear and confusion. For poorer residents, it’s simply more difficult (and more expensive) to take a few hours or a day or two off work to get a shot.

The city is averaging 60,000 to 70,000 shots per day. At that rate, it will take months to reach the remaining seven million New Yorkers, including children, who are not yet eligible for any vaccine.

the first major American bank to endorse HR 40, a piece of legislation sponsored by US Rep. Sheila Jackson Lee that creates a commission to develop reparation proposals for African Americans.

three decades ago.

"as real and right as the fight we had for the 1964 Civil Rights Act and the 1965 Voting Rights Act,

more attentive ears with Vice President Kamala Harris and President Joe Biden in office.

"targeted resources into public schools and neighborhoods that have been generationally deprived of the similar types of investments that white neighborhoods have gotten,"

voted overwhelmingly in favor of appropriating funds for the benefit of Black residents

"remains unanimously supportive"

she called upon National African-American Reparations Commission (NAARC) convener and Institute of the Black World 21st Century (IBW) President Ron Daniels to help Evanston develop an action plan.

"the community process"

The first is the transfer of wealth to descendants of American slavery via individual cash payments,

I've never seen the issue of reparations being taken as seriously as it is now,"

"the strict enforcement of existing civil rights law."

, there are some Black residents in Evanston who question if these policies go far enough,

, I think the process has been quite flawed when you look at it next to an HR 40

They fear the limited funds will result in an application process that only high-credit Evanstonians would have access to.

However, Simmons sees the critique as an opportunity for more conversations on what reparations could look like for residents

The City Council agrees with that

HR 40 was still very much in its infancy,

it was designed to establish a commission to examine enslavement and other derivative outcomes

It did, however, gain the endorsement of major civil rights organizations

Congress was not ready for the bill.

Black celebrities

In the over three decades since HR 40 reached the House floor, the case for reparations has only grown more organized and action-oriented. Today, the bill has more than 170 co-sponsors and a Senate companion resolution.

So it's really an attempt to address both the moral harm, and the crime that slavery and Jim Crow were, but also the wealth gap that was created by both of these institutions,"

In the wake of the Black Lives Matter movement's resurgence last year,

Breonna Taylor, George Floyd, and Ahmaud Arbery,

cultural experts and the executive branch of government that America has reneged on its promises to African Americans

"I think the reality is that we will as Black Americans never gain an entitlement that is commensurate with the suffering we endured.

"is that Black Americans will get about exactly as far as they take themselves,

"Modernity is our challenge, not social justice"

Over a century of both legally enforced and de-facto housing discrimination and redlining, blockage from small business loans, and suppression of constitutionally protected civil rights until well into the 1960s

n 1920 to roughly 1.3% of US farmers in 2017.

history was not studied, it was not known.

There are three hundred and twenty-one testing locations in the city, and the system is so extensive that in June, when Beijing suffered an outbreak, Wuhan hospitals sent seventy-two staffers to the capital to help with tests.

When Wuhan was sealed, the strategy of isolation was replicated throughout the city. Housing compounds were closed and monitored by neighborhood committees, with residents going out only for necessities.

Toward the end of the first month, the guidelines were tightened further, until virtually all goods were delivered. On February 17th, Fang Fang wrote, “Everyone is now required to remain inside their homes at all times.”

Meanwhile, approximately ten thousand contact tracers were working in the city, in order to cut off chains of infection, and hospitals were developing large-scale testing systems. But isolation remained crucial: patients were isolated; suspected exposures were isolated; medical workers were isolated.

Zhang said the experience of working through the pandemic had left him calmer and more patient. He drove more carefully now; he wasn’t in such a rush.

I often asked Wuhan residents how they had been personally changed by the spring, and there was no standard response. Some expressed less trust in government information; others said they had increased faith in the national leadership.

Wuhan had most recently reported a locally transmitted symptomatic case on May 18th. It’s the most thoroughly tested city in China: at the end of May, in part to boost confidence, the government tried to test every resident, a total of eleven million.

I never met a cabdriver who had been swab-tested less than twice, and a couple had been tested five times. Most of the cabbies had no relatives or friends who had been infected; swabbing was simply required by the city and by their cab companies.

“I tend to take a charitable view of countries that are at the beginning stage of epidemics,” Jennifer Nuzzo, an epidemiologist at the Johns Hopkins Center for Health Security, told me, in a phone conversation. According to her, it’s unrealistic to expect that any country could have stopped this particular virus at its source. “I’ve always believed that this thing was going to spread,” she said

The physician who handled testing told me that, on average, his hospital still recorded one positive for every forty thousand exams. Most of these positives were repeat patients: after having been infected during the initial run of the virus, they recovered fully, and then for some reason, months later, showed evidence of the virus again. So far, most of the positives had been asymptomatic, and the physician saw no indication that the virus was spreading in the city.

In town, there were few propaganda signs about the epidemic, and Wuhan newspapers ran upbeat headlines every morning (Yangtze Daily, August 29th, front page: “STUDENTS DO NOT HAVE TO WEAR MASKS IN SCHOOLS”). Movie theatres were open; restaurants and bars had no seating restrictions. At the Hanyang Renxinghui Mall, I saw barefaced kids playing in what may have been one of the last fully functioning ball pits on earth, a sight that seemed worthy of other headlines (“CHILDREN DO NOT HAVE TO WEAR MASKS IN WUHAN BALL PITS”).

Across town, colleges and universities were in the process of bringing back more than a million students. Wuhan has the second-highest number of students of any city in China, after Guangzhou.

Wuhan memories remained fresh, and the materials of documentation were also close at hand. People sometimes handed over manuscripts, and they took out their phones and pulled up photographs and messages from January and February. But I wondered how much of this material would dissipate over time.

In town, I met two Chinese journalists in their twenties who were visiting from out of town. They had been posted during the period of the sealed city: back then, anybody sent to cover events in Wuhan had to stay for the long haul.

One was a director of streaming media whom I’ll call Han, and he had found that government-run outlets generally wanted footage that emphasized the victory over the disease, not the suffering of Wuhan residents. Han hoped that eventually he’d find other ways to use the material. “It will be in the hard drive,” he said, tapping his camera.

After that, Yin reported on a number of issues that couldn’t be published or completed, and she often talked with scientists and officials who didn’t want to say too much. “One person said, ‘Ten years later, if the climate has changed, I’ll tell you my story,’ ” Yin told me. “He knew that he would be judged by history.” She continued, “These people are inside the system, but they also know that they are inside history.”

Such fare is much more popular in Guangdong, in the far south. It’s possible that the disease arrived from somewhere else and then spread in the wet, cool conditions of the fish stalls. A few Wuhan residents told me that a considerable amount of their seafood comes from Guangdong, and they suggested that perhaps a southerner had unwittingly imported the disease,

When I spoke with scientists outside China, they weren’t focussed on the government’s early missteps

In time, we will learn more, but the delay is important to the Communist Party. It handles history the same way that it handles the pandemic—a period of isolation is crucial. Throughout the Communist era, there have been many moments of quarantined history: the Great Leap Forward, the Cultural Revolution, the massacre around Tiananmen Square. In every case, an initial silencing has been followed by sporadic outbreaks of leaked information. Wuhan will eventually follow the same pattern, but for the time being many memories will remain in the sealed city.

Wafaa El-Sadr, the director of ICAP, a global-health center at Columbia University, pointed out that Chinese scientists had quickly sequenced the virus’s genome, which was made available to researchers worldwide on January 11th. “I honestly think that they had a horrific situation in Wuhan and they were able to contain it,” she said. “There were mistakes early on, but they did act, and they shared fast.”

For much of El-Sadr’s career, she has worked on issues related to AIDS in the United States, Africa, and elsewhere. After years of research, scientists eventually came to the consensus that H.I.V. most likely started through the bushmeat trade—the first human was probably infected after coming into contact with a primate or primate meat.

El-Sadr views the coronavirus as another inevitable outcome of people’s encroachment on the natural world. “We are now living through two concomitant massive pandemics that are the result of spillover from animal to human hosts, the H.I.V. and the COVID pandemics,” she wrote to me, in an e-mail. “Never in history has humanity experienced something along this scale and scope.”

There’s a tendency to believe that we would know the source of the coronavirus if the Chinese had been more forthcoming, or if they hadn’t cleaned out the Huanan market before stalls and animals could be studied properly.

Yiwu He, the chief innovation officer at the University of Hong Kong, told me that the C.N.B.G. vaccine has already been given to a number of Chinese government officials, under an emergency-use approval granted by the authorities. “I know a few government officials personally, and they told me that they took the vaccine,” he said, in a phone conversation. He thought that the total number was probably around a hundred. “It’s middle-level officials,” he said. “Vice-ministers, mayors, vice-mayors.”

Daszak believes the virus probably circulated for weeks before the Wuhan outbreak, and he doubts that the city was the source. “There are bats in Wuhan, but it was the wrong time of year,” he told me. “It was winter, and bats are not out as much.”

His research has indicated that, across Southeast Asia, more than a million people each year are infected by bat coronaviruses. Some individuals trap, deal, or raise animals that might serve as intermediary hosts. “But generally it’s people who live near bat caves,”

Daszak said that he had always thought that such an outbreak was most likely to occur in Kunming or Guangzhou, southern cities that are close to many bat caves and that also have an intensive wildlife trade.

He thinks that Chinese scientists are probably now searching hospital freezers for lab samples of people who died of pneumonia shortly before the outbreak. “You would take those samples and look for the virus,” he said. “They’ll find something eventually. These things just don’t happen overnight; it requires a lot of work. We’ve seen this repeatedly with every disease. It turns out that it was already trickling through the population.”

Daszak is the president of EcoHealth Alliance, a nonprofit research organization based in New York. EcoHealth has become the target of conspiracy theorists, including some who claim that the virus was man-made. Daszak and many prominent virologists say that anything created in a lab would show clear signs of manipulation.

There’s also speculation that the outbreak started when researchers accidentally released a coronavirus they were studying at the Wuhan Institute of Virology. But there’s no evidence of a leak, or even that the institute has ever studied a virus that could cause a COVID-19 outbreak.

“Scientists in China are under incredible pressure to publish,” Daszak said. “It really drives openness and transparency.”

He has spent a good deal of time in Wuhan, and co-authored more than a dozen papers with Chinese colleagues. “If we had found a virus that infected human cells and spread within a cell culture, we would have put the information out there,” he said. “In sixteen years, I’ve never come across the slightest hint of subterfuge. They’ve never hidden data. I’ve never had a situation where one lab person tells me one thing and the other says something else. If you were doing things that you didn’t want people to know about, why would you invite foreigners into the lab?”

In April, President Trump told reporters that the U.S. should stop funding research connected to the Wuhan Institute of Virology. Shortly after Trump’s comments, the National Institutes of Health cancelled a $3.7-million grant to EcoHealth, which had been studying how bat coronaviruses are transmitted to people.

I asked Daszak why, if he has such faith in the openness of his Wuhan colleagues, the Chinese government has been so closed about other aspects of the outbreak. He said that science is one thing, and politics something else; he thinks that officials were embarrassed about the early mistakes, and in response they simply shut down all information.

At the beginning of July, China National Biotec Group, a subsidiary of a state-owned pharmaceutical company called Sinopharm, completed construction of a vaccine-manufacturing plant in Wuhan. The project began while the city was still sealed. “That’s the politically correct thing to do,” a Shanghai-based biotech entrepreneur told me. “To show the world that the heroic people of Wuhan have come back.”

But Peter Daszak, a British disease ecologist who has collaborated with the Wuhan Institute of Virology for sixteen years on research on bat coronaviruses, told me that it’s typical to fail to gather good data from the site of an initial outbreak. Once people get sick, local authorities inevitably focus on the public-health emergency. “You send in the human doctors, not the veterinarians,” he said, in a phone conversation. “And the doctors’ response is to clean out the market. They want to stop the infections.”

Pharmaceutical executives have also been expected to lead the way, like the construction manager who donned P.P.E. in order to escort his workers into the patient ward. “Every senior executive at Sinopharm and C.N.B.G. has been vaccinated,” He said. “Including the C.E.O. of Sinopharm, the chairman of the board, every vice-president—everyone.” The Chinese press has reported that vaccinations have also been administered to hundreds of thousands of citizens in high-risk areas around the world.

In the West, China’s image has been badly damaged by the pandemic and by other recent events. The country has tightened political crackdowns in Hong Kong and Xinjiang, and, in May, after Australia called for an investigation into the origins of the virus, China responded furiously, placing new tariffs and restrictions on Australian goods ranging from barley to beef.

But He believes that the situation is fluid. “All of these feelings can turn around quickly,” he told me. “I think that once China has a vaccine, and if they can help other countries, it can make a huge difference.”

There’s also a competitive element. “China wants to beat America,” He said. He believes that the C.N.B.G. vaccine will receive some level of approval for public use by the end of October. “Chinese officials are thinking that Donald Trump might approve a U.S. vaccine before the election,” he said. “So their goal is to have a vaccine approved before that.”

No matter how quickly the Chinese develop a vaccine, or how effectively they have handled the pandemic since January, it’s unlikely to make Westerners forget the mistakes and misinformation during the pandemic’s earliest phase.

Some of this is due to a cultural difference—the Chinese response to errors is often to look forward, not back. On January 31st, Fang Fang commented in her diary, “The Chinese people have never been fond of admitting their own mistakes, nor do they have a very strong sense of repentance.” It’s often hard for them to understand why this quality is so frustrating for Westerners. In this regard, the pandemic is truly a mirror—it doesn’t allow the Chinese to look out and see themselves through the eyes of others.

The pandemic illuminates both the weaknesses and the strengths of the Chinese system, as well as the relationship between the government and the people. They know each other well: officials never felt the need to tell citizens exactly what happened in Wuhan, but they understood that American-level casualties would have been shocking—given China’s population, the tally would have been more than a million and counting.

In order to avoid death on that scale, the government also knew that people would be willing to accept strict lockdowns and contribute their own efforts toward fighting the virus.

In turn, citizens were skilled at reading their government. People often held two apparently contradictory ideas: that the Party lied about some things but gave good guidance about others. More often than not, citizens could discern the difference. During the pandemic, it was striking that, when the Chinese indulged in conspiracy theories, these ideas rarely resulted in personally risky behavior, as they often did in the U.S.

Perhaps the Chinese have been inoculated by decades of censorship and misinformation: in such an environment, people develop strong instincts for self-preservation, and they don’t seem as disoriented by social media as many Americans are.

Early in the year, I corresponded by WeChat with a Wuhan pharmacist who worked in a hospital where many were infected. On February 26th, he expressed anger about the early coverup. “My personal opinion is that the government has always been careless and suppressed dissent,” he wrote. “Because of this, they lost a golden opportunity to control the virus.”

In Wuhan, we met a few times, and during one of our conversations I showed him what he had written in February. I asked what he would do now if he found himself in Li Wenliang’s position, aware of an outbreak of some unknown disease. Would he post a warning online? Contact a health official? Alert a journalist?The pharmacist thought for a moment. “I would tell my close friends in person,” he said. “But I wouldn’t put anything online. Nothing in writing.”

I asked if such an event would turn out differently now.“It would be the same,” he said. “It’s a problem with the system.”

He explained that, with an authoritarian government, local officials are afraid of alarming superiors, which makes them inclined to cover things up. But, once higher-level leaders finally grasp the truth, they can act quickly and effectively.

That year, the city allocated $1 million of the new tax money for saplings along the 16th Street Mall, the city’s downtown business district, with no funds for poorer neighborhoods with sparse canopies. By the end of 2020, the city will have allocated six times more for trees in downtown areas than in residential zones.

“There’s these tough histories that make it really hard for residents to trust government, to possibly trust nonprofits,” said Kim Yuan-Farrell, executive director of The Park People, a local nonprofit group that advocates for parks and helps organize tree plantings in low-income neighborhoods.However, Ms. Yuan-Farrell said, things seem to be changing.

“Politics, Democratic or Republican, were not particularly important,” said Tom Harman, a former Republican state senator who got his start on the city council in the 1990s. “People didn’t run on party preference. They ran on what they could do in the community and how they could make the city a better place to live.”

It had long been a destination for surfing, but officials in the ’90s began leaning into that reputation to court the tourism industry. Huntington Beach became “Surf City USA,” a moniker pulled from a chart-topping song.

Two high-profile acts of white-supremacist violence — the shooting of a Black man in 1994, and the stabbing of a Native American man two years later — prompted the city to crack down on the groups who had flocked from across Southern California.

City police stepped up patrols, the council passed a human dignity policy condemning hate crimes, and officials started a human relations commission to combat bigotry. Ken Inouye, the founding chair of that task force and a 51-year resident of Huntington Beach, said residents from across the city “came together because we knew we were better than that.”

Both efforts were reversed when the current Republican majority took over the council.

In recent decades, sweeping demographic change has pushed Orange County to the left. But those shifts have been more subtle in Huntington Beach, and the city has retained its rightward lean. Unlike the county’s other largest cities, most residents are White and Republicans still account for the plurality of Huntington Beach’s registered voters.

During Donald Trump’s presidency, residents bridled at California’s pandemic restrictions, much as Trump did. Fierce protests became common, with crowds clogging the pier and Pacific Coast Highway to shout down coronavirus precautions or cheer Trump. Some of the rallies were organized by white-supremacist groups and turned violent.

Another inflection point came in 2021, when former mixed martial arts fighter and hard-right council member Tito Ortiz resigned from his post and the remaining members appointed a Democrat, Rhonda Bolton, in his stead. The move infuriated city Republicans, who wanted Ortiz replaced with an ideological equal.

“The tone of political rhetoric has gotten coarser and sillier as time has worn on,” she said. “And Huntington Beach is a reflection of what’s happening nationally.”

Carol Daus, who has lived in the city nearly three decades, said the council’s focus on contentious cultural debates has divided the community, pitting neighbors against neighbors. One example of the acrimony: Protect HB has hung posters across the city urging a “No” vote on the March ballot measures, but some 40 of those signs were recently vandalized with large green “Yes” stickers.

“This city during the past several years, following the Trump administration and covid lockdown, was like a volcano ready to explode,” Daus said. “And now it has.”

“I feel duped,” said Sue Welfringer, a longtime Huntington Beach resident and registered Republican. She voted for the four-person conservative slate because she liked their stances on homelessness and limiting development, but mostly she appreciated that they got along with each other.

“I almost don’t even want to vote at all because I don’t want to make another terrible mistake I regret,” said Welfringer, who opposes the council’s stances on issues like LGBTQ rights and voter ID. “I feel like they had a hidden agenda. And now I’m also worried what else is on their hidden agenda. I’m afraid to know what big issue is next.”

“Ideally, it would be wonderful if we could just focus on the roads and infrastructure,” he said. “But I think we’re in a time now where there really isn’t any such thing as a nonpartisan local focus anymore.”

But this dynamic has turned city council meetings into routine spectacles, where public comment drags on for hours and speakers hurl invectives at the seven members sitting on the dais.

Butch Twining, a candidate for city council, is one of three conservatives looking to build on the Republican majority, campaigning as a slate to replace Bolton and the council’s other two liberal members in November. A victory would give conservatives a 7-0 vise grip on the council.

The report is likely the Justice Department’s last major investigation before President-elect Donald Trump takes office. During President Barack Obama’s tenure, the Justice Department has aggressively investigated nearly two dozen police departments and pushed for reform, particularly after high-profile police killings. But Trump and his attorney general nominee, Jeff Sessions, have voiced skepticism of the investigations, suggesting that the Trump administration will do less to hold local police departments accountable through the Justice Department.

Yet just 1.3 percent of complaints over racist language between 2011 and March 2016 were sustained by internal investigators, the Justice Department found.

We found that officers engage in tactically unsound and unnecessary foot pursuits, and that these foot pursuits too often end with officers unreasonably shooting someone — including unarmed individuals.

CPD has not provided officers with adequate guidance to understand how and when they may use force, or how to safely and effectively control and resolve encounters to reduce the need to use force

But it’s not just tolerance; at times the police department appears to engage in an active cover-up — particularly through “a code of silence” and by hiding evidence.

One particularly striking statistic: More than 30,000 complaints are made against the Chicago Police Department every year. But while the department sustains less than 2 percent of those complaints, most are never investigated at all.

Still, it’s worth emphasizing that these findings may not be exclusive to Chicago. Whether it’s Baltimore, Cleveland, New Orleans, or Ferguson, Missouri, the Justice Department has found horrific constitutional violations in how police use force, how they target minority residents, how they stop and ticket people, and virtually every other aspect of policing. These issues come up time and time again, no matter the city that federal investigators look at.In that sense, it’s not just Chicago policing that’s flawed, but American policing as a whole.

Pleas for help from eastern Aleppo escalated on Thursday, with doctors warning that they could no longer provide more than first aid

Mr. Assad told Al Watan, a pro-government newspaper, that victory in Aleppo “doesn’t mean the end of the war in Syria. It is a significant landmark toward the end of the battle, but the war in Syria will not end until terrorism is eliminated,” he said, referring to insurgents

Bombs containing chlorine, banned as a weapon by international law, fell on the front line near the Kalasseh neighborhood, sickening about 30 people, the White Helmets said.

and that now the United States and Russia, as well as the Syrian combatants, could not agree on a plan to deliver aid and evacuate civilians who want to leave

Russia’s Foreign Ministry issued an angry and sarcastic response to a statement from six Western countries a day earlier that had warned of a humanitarian catastrophe in Aleppo. The ministry said that Russia was providing aid to residents it said had

Led by Canada, the United Nations General Assembly is scheduled to vote on a draft resolution that calls for a “cessation of hostilities” for an undefined period of time and that allows humanitarian aid to be delivered. It would have no force of law.

Under pressure from European Union officials in Brussels, Malta this week agreed to require foreigners seeking to buy Maltese passports to be residents for at least one year. It has also vowed to carefully vet applicants. Yet initial plans to limit to 1,800 the number of passports granted have been scrapped.

Cyprus recently slashed the amount of investment required to be eligible for citizenship, to $4.06 million from $13.5 million. It is also offering citizenship to foreigners who lost at least €3 million during the recent bailout crisis.

The Caribbean island federation of St. Kitts and Nevis offers citizenship for those who can invest $250,000

Portugal and Belgium offer residency permits leading to citizenship in exchange for big investments.

Crisis-hit Spain offers residency permits to foreigners who buy homes worth more than $260,000, with the aim of drawing Chinese and Russian investment.