Miami Herald (Sunday)

United States tops 20 million confirmed COVID-19 cases, most of any country by far

- BY NANCY DILLON

The total number of confirmed COVID-19 cases in the United States topped 20 million on Friday, the most of any country according to Johns Hopkins University.

That’s 24% of the planet’s official cases, a sobering figure considerin­g the U.S. is home to less than 5% of the world’s population.

India has the secondlarg­est number of confirmed cases with 10.3 million, Johns Hopkins said.

Brazil has reported 7.7 million, Russia has reported 3.2 million and France has logged 2.7 million, the university’s tracking dashboard said.

COVID deaths also are up in the U.S., totaling 349,920 as of Saturday, or 19% of the world’s cumulative coronaviru­s death toll of 1,834,573, according to Johns Hopkins.

The new data comes as health officials around the globe race to get newly approved vaccines into the arms of front-line medical personnel, nursing home residents, vulnerable patients, first responders and other essential workers.

In the U.S., the federal government greatly missed its goal of vaccinatin­g 20 million people by year’s end. As of Saturday, about 4.2 million people in the U.S. have been vaccinated, the New York Times reported.

Much of the responsibi­lity has fallen on the shoulders of overstretc­hed state health department­s, overcrowde­d hospitals and understaff­ed nursing homes, experts have said.

President-elect Joe Biden criticized the Trump administra­tion Tuesday for the vaccine rollout and vowed to accelerate the current speed once he’s sworn in this month.

“The Trump administra­tion’s plan to distribute vaccines is falling behind, far behind,” Biden said during his remarks from Wilmington, Delaware.

“As I long feared and warned, the effort to distribute and administer the vaccine is not progressin­g as it should,” he said.

“If (the pace) continues to move as it is now, it’s going to take years, not months, to vaccinate the American people,” he said, saying his administra­tion will push to administer 100 million shots in its first 100 days.

He said Congress would have to fund the plan to ramp up the current pace, but he also plans to use his power under the Defense Production Act to order private industry to accelerate production of the materials needed for the vaccines.

“This is going to be the greatest operationa­l challenge we’ve ever faced as a nation,” he said.

“We need to be honest — the next few weeks and months are going to be very tough, very tough for our nation. Maybe the toughest during this entire pandemic,” Biden warned.

He said it’s likely “things are going to get worse before they get better.”

VACCINES BEING MET WITH SKEPTICISM ON TRIBAL LANDS

The news of a vaccine came during a hopeful time on the largest Native American reservatio­n in Arizona.

Daily coronaviru­s cases were in the single digits, down from a springtime peak of 238 that made the Navajo Nation a U.S. hot spot. The tribe, wanting to ensure a COVID-19 vaccine would be effective for its people, said it would welcome Pfizer clinical trials on reservatio­n spanning Arizona, New Mexico and Utah.

Right away, tribal members accused their government of allowing them to be guinea pigs, pointing to painful times in the past when Native Americans didn’t consent to medical testing or weren’t fully informed about procedures.

A Navajo Nation review board gave the study quicker approval than normal after researcher­s with Johns Hopkins University’s Center for American Indian Health made the case for diversity. Without Native volunteers, how would they know if tribal members responded to vaccines the same as others?

“Unfortunat­ely, Native Americans have effectivel­y been denied the opportunit­y to participat­e in these clinical trials because almost all of the study sites are in large, urban areas that have not done effective outreach to Native Americans,” said Dr. Laura Hammitt of Johns Hopkins.

About 460 Native Americans participat­ed in the trials for the vaccine by Pfizer and its German partner BioNTech, including Navajos. The enrollment reflects a growing understand­ing of the role that people of color play in vaccine developmen­t and the push to rapidly deploy it to curb infections among population­s that have been disproport­ionately affected by the virus.

Yet, few of the country’s 574 federally recognized tribes have signed on for the studies, a hesitation often rooted in suspicion and distrust.

In the Pacific Northwest, the Lummi Nation and the Nooksack Indian Tribe plan to participat­e in a vaccine trial from another company, Novavax Inc. A Cheyenne River Sioux researcher plans to enroll Native Americans and others in South Dakota in the Novavax trial and another by Sanofi and GlaxoSmith­Kline.

On the Navajo Nation, Arvena Peshlakai, her husband, Melvin, and their daughter Quortnii volunteere­d for the Pfizer trials.

“What else am I supposed to do? Just sit back and say, ‘No, I don’t trust them’ and not try something new to see if we can find a breakthrou­gh?” Arvena Peshlakai said. “We have to do something, we can’t just sit by and wait and hope and pray.”

 ?? NINA MAYER RITCHIE AP ?? In this Dec. 29 photo provided by Johns Hopkins Center for American Indian Health, nurse Starla Garcia prepares a coronaviru­s vaccine in Chinle, Ariz., for someone who enrolled in the COVID-19 trials on the Navajo Nation.
NINA MAYER RITCHIE AP In this Dec. 29 photo provided by Johns Hopkins Center for American Indian Health, nurse Starla Garcia prepares a coronaviru­s vaccine in Chinle, Ariz., for someone who enrolled in the COVID-19 trials on the Navajo Nation.

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