Chip shortage highlights U.S. dependence on fragile supply chain

CBS 60 Minutes

Chip shortage highlights U.S. dependence on fragile supply chain

Seventy-five percent of semiconductors, or microchips — the tiny operating brains in just about every modern device — are manufactured in Asia. Lesley Stahl talks with leading-edge chip manufacturers, TSMC and Intel, about the global chip shortage and the future of the industry.

 

Lesley Stahl                        August 29, 2021

Car companies across the globe have had to idle production and workers because of a shortage of semiconductors, often referred to as microchips or just chips. They’re the tiny operating brains inside just about every modern device, like smartphones, hospital ventilators, even fighter jets. As we first reported in May, the pandemic sent chip demand soaring unexpectedly, as we bought computers and electronics to work, study, and play from home. But while more and more chips are needed in the U.S., fewer and fewer of them are manufactured here.

Intel is the biggest American chipmaker. Its most advanced fabrication plant, or fab for short, is located outside Phoenix, Arizona. New CEO, Pat Gelsinger, invited us on a tour to see how incredibly complex the manufacturing process is.

First, we had to suit up to avoid contaminating the fab: head-cover – on; bunny suit – zipped; goggles; gloves… ready to go.

Lesley Stahl: I’m pristine!

Pat Gelsinger: Everything in this environment is controlled.

Together we stepped into a place with some of the most sophisticated new technology on Earth.

Lesley Stahl: I need to ask you why we’re all yellow?

Yellow filters remove light-rays that are harmful to the process. Overhead a computerized highway transports materials from one machine to the next. The process involves thousands of steps, where layer upon layer of microscopic circuitry is etched onto these silicon plates – that are then chopped up into chips that will end up in, say, your computer. Making just one can take six months.

microchipsscreengrabs03.jpg
Pat Gelsinger shows correspondent Lesley Stahl a silicon wafer.

Pat Gelsinger: You see, each one of these is a chip.

Lesley Stahl: Is a chip. I’m surprised. I thought chips were minute.

Pat Gelsinger: Well, each one of these chips has maybe a billion transistors on it.

Lesley Stahl: Oh, my goodness!

Pat Gelsinger: So there’s billion little circuits inside of it that are all on one of these chips. And then one wafer could have 100 or 1,000 chips on it.

Intel’s goal is to keep shrinking the transistors’ size, so you can pile more of them on a chip to make it more powerful and work faster.

Pat Gelsinger: Every one of these is laying down circuits that are so much smaller than anything, your hair, you know, any other part of human existence. You know, a COVID particle is way bigger than one of the lines that we’re creating here.

Lesley Stahl: How much does this fab cost?

Pat Gelsinger: $10 billion dollars.

Lesley Stahl: Billion??

Pat Gelsinger: $10 billion ’cause each one of these pieces of equipment is maybe $5 million. That’s a lot of millions of dollars.

Chips differ in size and sophistication depending on their end-use. Intel doesn’t presently make many chips for the auto-sector but because of the shortage it’s planning to reconfigure some of its fabs to start churning them out.

Lesley Stahl: I’m wondering, if we’re going to continue to have shortages, not just in cars, but in our phones and for our computers, for everything?

Pat Gelsinger: I think we have a couple of years until we catch up to this surging demand across every aspect of the business.

COVID showed that the global supply chain of chips is fragile and unable to react quickly to changes in demand. One reason: fabs are wildly expensive to build, furbish, and maintain.

Lesley Stahl: it used to be that there were 25 companies in the world that made the high-end, cutting-edge chips. And now there are only three. And in the United States? – You.

GELSINGER HOLDS UP FINGER

Lesley Stahl: One. One.

Today, 75% of semiconductor manufacturing is in Asia. 

Pat Gelsinger: 25 years ago, the United States produced 37% of the world’s semiconductor manufacturing in the U.S. Today, that number has declined to just 12%.

Lesley Stahl: Doesn’t sound good.

Pat Gelsinger: It doesn’t sound good. And anybody who looks at supply chain says, “That’s a problem.” 

microchipsscreengrabs04.jpg
  Pat Gelsinger

A problem because relying on one region, especially one as unpredictable as Asia, is highly risky. Intel has been lobbying the U.S. government to help revive chip manufacturing at home – with incentives, subsidies, and-or tax breaks, the way the governments of Taiwan, Singapore, and Israel have done. The White House is responding, proposing $50 billion for the semiconductor industry in the U.S. as part of President Biden’s infrastructure plan.

Lesley Stahl: Your business is extremely lucrative. In terms of revenue, you made $78 billion last year. Why should the government come in to a company, a business that’s doing so well overall?

Pat Gelsinger: This is a big, critical industry and we want more of it on American soil: the jobs that we want in America, the control of our long term technology future, and as we’ve also said, the disruptions in the supply chain.

Lesley Stahl: You have spent much more in stock buybacks than you have in research and development. A lot more.

Pat Gelsinger: We will not be anywhere near as focused on buybacks going forward as we have in the past. And that’s been reviewed as part of my coming into the company, agreed upon with the board of directors.

Lesley Stahl: Why shouldn’t private industry fund this instead of the government? The industries that rely on these chips – Apple, Microsoft, the companies that are rolling in money?

Pat Gelsinger: Well, they’re pretty happy to buy from some of the Asian suppliers.

Actually, they don’t always have a choice. For chips with the tiniest transistors – there is no “made in the U.S.” option. Intel currently doesn’t have the know-how to manufacture the most advanced chips that Apple and the others need.

Lesley Stahl: The decline in this industry. It’s kinda devastating, isn’t it?

Pat Gelsinger: The fact that this industry was created by American innovation–

Lesley Stahl: The whole Silicon Valley idea started with Intel.

Pat Gelsinger: Yeah… The company stumbled. You know, it’s still a big company – we had some product stumbles, some manufacturing and process stumbles.

microchipsscreengrabs01.jpg

Perhaps the biggest stumble was in the early-2000s, when Steve Jobs of Apple needed chips for a new idea: the iPhone. Intel wasn’t interested. And Apple went to Asia, eventually finding TSMC: the Taiwan Semiconductor Manufacturing Company – today, the world’s most advanced chip-manufacturer, producing chips that are 30% faster and more powerful than Intel’s.

Lesley Stahl: They’re ahead of you on the manufacturing side.

Pat Gelsinger: Yeah.

Lesley Stahl: Considerably ahead of you. 

Pat Gelsinger: We believe it’s gonna take us a couple of years and we will be caught up.

Gelsinger is making big bets: breaking ground on two new giant fabs in Arizona, costing $20 billion; Intel’s largest investment ever. And he announced in May a three and a half billion dollar upgrade of this fab in New Mexico.

But TSMC is a manufacturing juggernaut worth over a half a trillion dollars. Collaborating with clients to produce their chip designs, it’s been sought out by Apple, Amazon, contractors for the U.S. military, and even Intel, which uses TSMC to produce its cutting-edge designs they’re not advanced enough to make themselves.

Lesley Stahl: How and why did Intel fall behind?

Mark Liu: It is surprising for us too.

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  Mark Liu

We spoke remotely with TSMC chairman Mark Liu at the company headquarters in Hsinchu, Taiwan. His company is a leading supplier of the chips that go into American cars. In March, 2020, as COVID paralyzed the U.S. – car sales tumbled, leading automakers to cancel their chip orders so TSMC stopped making them. That’s why when car sales unexpectedly bounced back late last year there was a shortage of chips: leaving cars with no power parked in carmakers’ lots – costing them billions.

Mark Liu: We heard about this shortage in December timeframe. And in January, we tried to squeeze as more chip as possible to the car company. There’s a time lag. In car chips particularly, the supply chain is long and complex. The supply takes about seven to eight months.

Lesley Stahl: Should Americans be concerned that most chips are being manufactured in Asia today?

Mark Liu: I understand their concern, first of all. But this is not about Asia or not Asia I mean, the shortage will happen no matter where the production is located because it’s due to the COVID.

Lesley Stahl: But Pat Gelsinger at Intel talks about a need to rebalance the supply chain issue because so much, so many of the chips in the world now are made in Asia.

Mark Liu: I think U.S. ought to pursue to run faster, to invest in R&D, to produce more Ph.D., master, bachelor students to get into this manufacturing field instead of trying to move the supply chain, which is very costly and really non productive. That will slow down the innovation because– people trying to hold on their technology to their own and forsake the global collaboration.

Within the world of global collaboration there’s intense competition. Days after Intel announced spending $20 billion on two new fabs, TSMC announced it would spend $100 billion over three years on R&D, upgrades, and a new fab in Phoenix, Arizona, Intel’s backyard, where the Taiwanese company will produce the chips Apple needs but the Americans can’t make.

Mark Liu: That was a big investment.

But there’s a looming shadow over TSMC, which supplies chips for our cars, iPhones, and the supercomputer managing our nuclear stockpile: China’s President Xi Jinping, who has intensified his long-time threat to seize Taiwan.

China’s attempts to develop its own advanced chip industry have failed and so it’s been forced to import chips. But last year, Washington imposed restrictions on chipmakers from exporting certain semiconductors to china. Both Liu and Gelsinger fear the escalating trade war with China may backfire, and in Intel’s case: could hurt business.

Lesley Stahl: Are they your biggest customer?

Pat Gelsinger: China is one of our largest markets today. You know, over 25% of our revenue is to Chinese customers. We expect that this will remain an area of tension, and one that needs to be navigated carefully. Because if there’s any points that people can’t keep running their countries or running their businesses because of supply of one critical component like semiconductors, boy, that leads them to take very extreme postures on things because they have to.

The most extreme would be China invading Taiwan and in the process gaining control of TSMC. That could force the U.S. to defend Taiwan as we did Kuwait from the Iraqis 30 years ago. Then it was oil. Now it’s chips.  

Lesley Stahl: The chip industry in Taiwan has been called the Silicon Shield.

Mark Liu: Yes.

Lesley Stahl: What does that mean?

Mark Liu: That means the world all needs Taiwan’s high-tech industry support. So they will not let the war happen in this region because it goes against interest of every country in the world.

Lesley Stahl: Do you think that in any way your industry is keeping Taiwan safe?

Mark Liu: I cannot comment on the safety. I mean, this is a changing world. Nobody want these things to happen. And I hope– I hope not too– either.

Despite the global push to ramp up production, the news is still grim. Some industry leaders and analysts expect the shortage to last deep into 2022, or even 2023.

Produced by Shachar Bar-On. Associate producer, Natalie Jimenez Peel. Broadcast associate, Wren Woodson. Edited by Warren Lustig.

  • Lesley Stahl

    Lesley Stahl

    One of America’s most recognized and experienced broadcast journalists, Lesley Stahl has been a 60 Minutes correspondent since 1991.

15 million Covid vaccine doses thrown away in the U.S. since March, new data shows

NBC News

15 million Covid vaccine doses thrown away in the U.S. since March, new data shows

As countries across the world clamor for vaccine doses, U.S. pharmacy chains and state health departments have thrown millions away.
By Joshua Eaton and Joe Murphy          September 1, 2021
Image: Moderna Vaccine

The number of discarded doses is still a small fraction of the total doses administered in the U.S. Apu Gomes / AFP via Getty Images file

Pharmacies and state governments in the United States have thrown away at least 15.1 million doses of Covid-19 vaccines since March 1, according to government data obtained by NBC News — a far larger number than previously known and still probably an undercount.

Four national pharmacy chains reported more than 1 million wasted doses each, according to data released Tuesday by the Centers for Disease Control and Prevention in response to a public records request. Walgreens reported the most waste of any pharmacy, state or other vaccine provider, with nearly 2.6 million wasted doses. CVS reported 2.3 million wasted doses, while Walmart reported 1.6 million and Rite Aid reported 1.1 million.

The data released by the CDC is self-reported by pharmacies, states and other vaccine providers. It is not comprehensive — missing some states and federal providers — and it does not include the reason doses had to be thrown away. In one example of missing data, the CDC lists just 12 wasted doses for Michigan since March, but Michigan’s Department of Health and Human Services said on Wednesday that the state has thrown away 257,673 doses since December.

The number of discarded doses is still a small fraction of the total doses administered in the U.S.

In general, there are a number of reasons why vaccination sites may have to mark doses as wasted, from a cracked vial or an error diluting the vaccine to a freezer malfunction to more doses in a vial than people who want them. A wastage report can also happen when a vial contains fewer doses than it should.

The data on wasted doses comes as the more contagious delta variant spreads rapidly across the United States, adding fresh urgency to the effort to vaccinate as many people as possible and spurring a plan to begin offering booster shots to those already vaccinated — even as many nations around the world have vaccinated few, if any, of their residents.

“It’s really tragic that we have a situation where vaccines are being wasted while lots of African countries have not had even 5 percent of their populations vaccinated,” said Sharifah Sekalala, an associate professor of global health law at England’s University of Warwick, who studies inequalities in infectious diseases.

“A lot of the global south is unvaccinated. The African continent is still below 10 percent, and that’s just a huge inequality and it’s really problematic.”

CDC spokeswoman Kristen Nordlund said in an email that the share of Covid vaccines wasted “remains extremely low, which is evidence of the strong partnership among the federal government, jurisdictions, and vaccine providers to get as many people vaccinated as possible while reducing vaccine wastage across the system.”

Nordland added, “As access to Covid-19 vaccine has increased, it is important for providers to not miss any opportunity to vaccinate every eligible person who presents at vaccine clinics, even if it may increase the likelihood of leaving unused doses in a vial.”

A CVS spokesman made a similar point, writing in an email: “While we regret having to dispose of any vaccine, we’re extremely proud of our store employees who’ve helped administer more than 30 million doses. When given the option of potentially saving a life or slightly improving our reported waste figures, we’ll always choose the former.”

Walgreens, Walmart and Rite Aid did not immediately respond to requests for comment. “Our goal has always been ensuring every dose of vaccine is used,” Walgreens spokesperson Kris Lathan told Kaiser Health News in May.

The number of doses that went to waste is a small fraction of the more than 438 million doses that were distributed in the country as of Tuesday and the 111.7 million additional doses the U.S. had given to other countries as of Aug. 3.

Demand for vaccines in the U.S. rose in August as cases and hospitalizations surged due to the delta variant. Still, the U.S. wasted at least 3.8 million doses in August alone, the data shows.

States, pharmacies and other vaccine providers also reported at least 4.4 million wasted doses to the CDC in June and 4.7 million in July — more than in March, April and May combined.

No state health department came close to the number of doses wasted by pharmacy chains, but four reported over 200,000 wasted doses each. Texas led in reports of vaccine waste by states, with 517,746 wasted doses, North Carolina reported 285,126, Pennsylvania reported 244,214 and Oklahoma reported 226,163. (This list does not include Michigan, which did not have full information listed in the CDC’s data release.)

Lara Anton, a spokeswoman for the Texas Department of State Health Services, said the state “instructed vaccine providers to prioritize vaccinating people when they came in to get vaccinated rather than waiting until they found enough people to use every dose in the vial before opening it,” which can lead to wasted doses. Power outages at two vaccine storage facilities in Texas affected more than 47,000 doses in May, KXAN Austin reported at the time. Vaccine storage has moved to facilities with better temperature monitoring since that incident, a Texas Health Department spokesperson said at the time.

The Pennsylvania Department of Health released a statement saying, “While we do everything possible to avoid waste, and while we don’t want to waste on purpose, we also don’t want to miss any vaccination opportunities.”

Representatives for the North Carolina and Oklahoma health departments did not immediately respond to requests for comment. Officials in Oklahoma previously blamed vaccine waste on the need to get vaccines into arms, even if that means throwing away unused doses.

Last month, the Food and Drug Administration authorized booster shots for people who are immunocompromised because their bodies may not respond to the initial vaccine regimen. The Biden administration has also announced a plan, pending FDA and CDC signoff, to offer booster shots to all Americans eight months after their last dose in response to evidence of waning immunity.

Those moves prompted debate about whether it was moral to offer Americans extra protection when so many people around the world haven’t received even a single Covid vaccine shot.

But the new data showed that the U.S. has wasted far more vaccine doses than many poorer countries have for their entire population. For example, the country of Georgia, a coronavirus hot spot, has administered just 1.1 million vaccine doses for its population of 4.9 million. Nepal, which has been ravaged by the delta variant, has administered just 9.7 million doses for its population of 30.4 million.

“It’s an equity issue,” said Tim Doran, professor of health policy at the United Kingdom’s University of York. “You’ve got a very wealthy country with good access to vaccines essentially throwing vaccine away, and a lot of vaccine away, and you’ve got other countries and other communities within those countries who would really require it, who were having to wait and aren’t getting access to vaccine and that’s making them susceptible whilst they are awaiting vaccination.”

Sekalala, the global health law professor, said the U.S. wasting so many doses was “inevitable under the model” in which wealthy countries bought large quantities of vaccines for themselves, only thinking about donating them to poorer countries later.

“It’s a failure of the current system where rich countries buy their individual batches of vaccines, and then have to think about what’s going to happen if they don’t use them,” she said. “This led to an over-purchase, with people buying up supplies that they didn’t need or weren’t able to use.”

One contributing factor to vaccine waste is the way the vaccines are packaged. Most vaccines for other illnesses come in single-dose vials. But, depending on the equipment used to draw a dose, Moderna’s Covid vaccine has up to 15 doses in a vial, while Pfizer’s has up to six and Johnson & Johnson’s has up to five.

Once a vial is punctured — for example, if a customer requests a vaccination at a retail pharmacy — the clock starts ticking. A vial of Moderna’s vaccine has to be discarded 12 hours after it’s punctured, while Pfizer’s and Johnson & Johnson’s have to be discarded after six hours.

The high number of doses in each vial and the relatively short timeframe for using a vial once it’s been punctured likely contributed to unused doses going to waste.

Several vaccine providers reported the waste of thousands of doses to the CDC in a single report. But overall, the newly released data shows that vaccine waste was a slow, steady trickle rather than a flood — the most common report in the data was just four doses wasted at a time.

The data released Tuesday is more detailed and complete than data the CDC released in April, when a Kaiser Health News investigation found that the country wasted nearly 200,000 Covid vaccine doses from December through March.

separate investigation by The New York Times found about 1 million wasted doses across 10 states from December through July.

The more detailed data suggests that the CDC now has a better picture of how much is being wasted and where than it did earlier in the vaccination program. Still, seven states are missing from the newly released data entirely: Arkansas, Connecticut, Louisiana, Maine, Nevada, Ohio and Oregon.

Also missing from the CDC’s data are doses wasted by federal agencies that are administering the vaccines, including the Department of Defense, the Bureau of Prisons, the Veterans Health Administration and the Indian Health Service.

More vaccine waste data is held in Tiberius, a system run by the Department of Health and Human Services, but officials have yet to release it. The data released Tuesday came from the CDC’s Vaccine Tracking System, or VTrckS, which pulls data from state and local immunization registries.

Climate Change Is Bankrupting America’s Small Towns

Climate Change Is Bankrupting America’s Small Towns

The abandoned downtown of Fair Bluff, N.C., five years since flooding from Hurricane Matthew devastated the small town, on June 18, 2021. (Mike Belleme/The New York Times)
The abandoned downtown of Fair Bluff, N.C., five years since flooding from Hurricane Matthew devastated the small town, on June 18, 2021. (Mike Belleme/The New York Times)

 

FAIR BLUFF, N.C. — It has been almost five years since Hurricane Matthew flooded the small town of Fair Bluff, on the coastal plain of North Carolina. But somehow, the damage keeps getting worse.

The storm submerged Main Street in 4 feet of water, destroyed the town hall and the police and fire departments, and flooded almost one-quarter of Fair Bluff’s homes. After two weeks underwater, the roads buckled. The school and grocery store shut, then did not reopen. When Hurricane Florence submerged the same ground two years later, in 2018, there was little left to destroy.

What started as a physical crisis has become an existential one. The town’s only factory, which made vinyl products, closed a few months after Matthew. The population of around 1,000 fell by about half. The federal government tried to help, buying the homes of people who wanted to leave, but those buyouts meant even less property tax, tightening the fiscal noose.

Al Leonard, the town planner, who is responsible for its recovery, said his own job may have to be eliminated, and maybe the police department, too.

Climate shocks are pushing small rural communities like Fair Bluff, many of which were already struggling economically, to the brink of insolvency. Rather than bouncing back, places hit repeatedly by hurricanes, floods and wildfires are unraveling; residents and employers leave, the tax base shrinks, and it becomes even harder to fund basic services.

That downward spiral now threatens low-income communities in the path this week of Hurricane Ida and those hit by the recent flooding in Tennessee — hamlets regularly pummeled by storms that are growing more frequent and destructive because of climate change.

Their gradual collapse means more than just the loss of identity, history and community. The damage can haunt those who leave, since they often cannot sell their old homes at a price that allows them to buy something comparable in a safer place. And it threatens to disrupt neighboring towns and cities as the new arrivals push up demand for housing.

The federal government has struggled to respond, often taking years to provide disaster funds. And those programs sometimes work at cross purposes, paying some people to rebuild while paying their neighbors to leave.

What Comes After the Storm

Fair Bluff is small-town idyllic, nestled among fields of corn and tobacco near the South Carolina border, shielded from the Lumber River by a narrow bank of tupelo gum, river birch and bald cypress trees. But its main road offers a sobering glimpse of what climate change could mean for communities that cannot defend themselves.

On a recent afternoon, the sidewalks were empty and the storefronts abandoned, their interiors smashed up and littered with trash, doors ajar. The roof of one building had collapsed, a battered American flag stuck in the debris; inside other buildings were ransacked shelves, plastic containers full of Christmas decorations, an upside-down tricycle. Speakers on a Methodist church played recorded hymns for no one.

Some stores were strewn with cleaning supplies and half-full garbage bags, as if shopkeepers had first tried to fix the flood damage before giving up.

“If you look at what the folks here called downtown, really the only business that came back was the U.S. Post Office,” said Leonard, who splits his time between Fair Bluff and four other towns, none of which can afford a full-time employee on their own.

It is no coincidence that small towns in eastern North Carolina are among the first in the country to face an existential threat from climate change. Many were already struggling from the decline of the tobacco and textile industries, and the area’s flat terrain makes it especially vulnerable to flooding from powerful hurricanes that are coming more often. Between 1954 and 2016, North Carolina was hit by 19 hurricanes severe enough to produce a federal disaster declaration, about one every three years. By contrast, four hurricanes have cleared that bar since 2018.

Leonard described Fair Bluff’s hopeful plan: Buy the ruined stores downtown, tear them down, clean up the land and turn it into a park that can flood safely. Build a new downtown a few blocks east on land is less likely to flood. Rebuild, revive and regain what has been lost.

But the town cannot afford any of it.

“We were a small town before the hurricanes; we’re much smaller after the hurricanes,” Leonard said. The median household income is $20,000 a year; many residents are retired, and just one-third have jobs. “Fair Bluff’s recovery will go as far as someone else’s money will take us.”

‘Ain’t Gonna Be That Many People on This Street’

That strategy has half-worked. The town won grants to rebuild in bits and pieces, repairing some roads and the drinking water system. Last spring, the Economic Development Administration, part of the U.S. Department of Commerce, announced $4.8 million to build a small business center. A company that makes pipes has said it would open a factory in Fair Bluff.

But clearing the old downtown could cost $10 million — money Fair Bluff does not have, Leonard said. And while the EDA is funding a new commercial building, other federal agencies are paying for residents to leave — residents who might have been customers for those new shops.

After Hurricane Matthew, the Federal Emergency Management Agency is paying to buy 34 houses in the town to demolish them — a process that can take years. Only 14 have been purchased so far; the rest should be sold sometime in the next year. FEMA’s rules require that no new homes be constructed on that property, taking it off the real estate tax rolls.

Buyouts protect people by getting them out of homes likely to flood, said David Maurstad, head of insurance and mitigation at FEMA. But he acknowledged it makes it harder for towns to stay economically viable. “That’s a real challenge for communities,” he said.

State officials offered to buy another 35 houses in Fair Bluff, this time with money from the U.S. Department of Housing and Urban Development. To persuade the town, the officials brought a map with a shaded area, showing the homes they said could not reasonably be protected against future floods.

Those homeowners, the state argued, should have the chance to leave.

The shaded area covered nine blocks in the middle of town. It would have carved a hole in Fair Bluff, which is only 3 square miles, setting aside land that could never be rebuilt upon. The town refused.

More buyouts would make it even harder for the town to survive financially, Leonard said. “Those folks have decided to stay in Fair Bluff,” he said. “Who are we to say, ‘We want you to leave?’”

But in interviews, some residents said that if another storm struck, they would not come back.

A few blocks south of Main Street, Barbara Vereen lives in a modest white house. After Hurricane Matthew, Vereen, 64, moved in with relatives while her flooded house was repaired. Then came Hurricane Florence, displacing her another six months.

From a chair on her front porch, she pointed to the neighboring houses, most of them waiting to be torn down. “Ain’t gonna be that many people on this street,” she said. If another flood comes, Vereen said, she will join her neighbors and leave.

The mayor of Fair Bluff is Billy Hammond, who works as an undertaker at the local funeral home. He said he thinks the town can regain some population within the next decade — if another storm does not hit.

“If we would have another flood and lose 200 people,” he said, “we would be in dire need.”

Build Back or Pay People to Leave?

Adapting to climate change in the United States arguably comes down to a brutal decision: when to build back and when to help move people away from threats that are only getting worse.

The first option is becoming more expensive and less effective as disasters mount. The second option is usually too painful to even consider.

In 2016, the Obama administration set up a working group among agencies that handle disaster policy and recovery, including FEMA, HUD and the Army Corps of Engineers, asking them to devise a coordinated approach for what experts call managed retreat: relocating entire communities from areas that cannot be protected.

But that work stopped under former President Donald Trump and has not resumed.

Instead, agencies continue to pursue their own programs, even if they conflict with each other.

Halfway between Raleigh, North Carolina, and the Atlantic coast is Princeville, the first town in America chartered by freed slaves. Princeville was built at a spot where the Tar River veers through a 90-degree bend, creating a natural choke point when hurricanes flush the river with rain.

In 1967, the Army Corps of Engineers built a levee in Princeville; three decades later, flooding from Hurricane Floyd overwhelmed that levee, damaging or destroying the town’s 1,000 homes. In 2016, Hurricane Matthew flooded Princeville again.

As residents left and tax revenue shrank, so did the town’s role in daily life. The county took over policing as well as water and sewer services and tax collection. A contractor handles trash pickup.

Bobbie Jones, the mayor of Princeville, said he wanted to bring residents and businesses back so the town could provide those services again.

“When we are doing things for ourselves, we take more pride in it,” Jones said. “The oldest town chartered by Blacks in America — we want to make sure that everything that all other towns have, that we have the same services for ourselves.”

After Floyd, FEMA offered to buy every home; town officials refused. After Matthew, Congress tried a new approach, directing the Corps to build a $40 million system of levees and other flood protections.

But as the Corps plans the new levee, FEMA and HUD have begun providing people with money to leave. Since Matthew, FEMA is paying for the state to buy and tear down 22 homes. HUD is paying to buy another 27, and more could follow.

Laura Hogshead leads the North Carolina Office of Recovery and Resiliency, which manages disaster money the state gets from HUD. She said that buying out homes in Princeville, at the same time as another agency builds a new levee to protect those homes, may require reconsideration.

“If we are seeing significant numbers of people who want to stay in Princeville, then I want them to be protected,” Hogshead said. “If everyone’s going to move, then that’s a different conversation.”

‘If Another Flood Happens, It’s Definitely Gone’

Fifty miles south of Princeville is a warning about what happens when people leave and do not return.

All that is left of the town of Seven Springs is a few dozen buildings on the south bank of the Neuse River, land that rises gently to a highway a few hundred feet away. The effect is like a bathtub — which is what the town became when Hurricane Floyd sent the Neuse over its banks in 1999. Hurricane Matthew flooded the town again in 2016. Hurricane Florence repeated the damage in 2018.

Floyd cut the population of Seven Springs by about half; Matthew cut it again. Of the 30 or so houses left between the river and the highway, maybe a dozen are still occupied, said Stephen Potter, the mayor. The population, which peaked at 207 in 1960, had dwindled to 55 by last year.

The main street consists largely of abandoned businesses: the old Southern Bank branch, a general store, a restaurant. The town cannot condemn partially collapsed buildings because it cannot afford to tear them down and clear the debris, Potter said.

The town budget has fallen to $50,000 a year; to make ends meet, it has been dipping into reserves. Potter’s strategy is to turn one of the town’s empty lots into a campsite big enough for two recreational vehicles, which visitors to a nearby state park could use when that park’s main RV site fills up.

“Now, what happens when we have another catastrophic flood? I don’t know,” Potter said. “I really don’t want to be the mayor that presides over the death of Seven Springs.”

Still, the town keeps shrinking. Hogshead approached Seven Springs with a map showing which houses could not be protected and so were eligible for buyouts. It included almost all the land between the river and the highway. So far, 12 homeowners have signed up.

“I remember the town when it was thriving,” said Alan Cash, a 46-year-old electrician who works in Raleigh, an hour and a half away. “It’s very sad to see what it’s become.”

Cash said he had declined a buyout because it would not be enough money for a similar house elsewhere, adding that most of his neighbors who did accept them wound up in mobile home parks along the highway. “It is really a step down,” he said.

He described how the series of floods had shrunken Seven Springs: With each flood, more people leave. The tax base shrinks. Those who stay lose the will to improve their properties, knowing that they will likely flood again.

“I don’t know that it’s really going to take the next flood to kill it,” Cash said of Seven Springs. “But if another flood happens, it’s definitely gone.”

Lake Tahoe wildfire seemed controllable, then it wasn’t

Lake Tahoe wildfire seemed controllable, then it wasn’t

SACRAMENTO, Calif. (AP) — Just last week, managers overseeing the fight against the massive wildfire scorching California’s Lake Tahoe region thought they could have it contained by the start of this week.

Instead, the Caldor Fire crested the Sierra Nevada on Monday, forcing the unprecedented evacuation of all 22,000 residents of South Lake Tahoe and tens of thousands of tourists who would otherwise be winding down their summers by the alpine lake straddling the California-Nevada state line.

That drastic move might never have been needed if authorities could have thrown more firefighters at the blaze when it was small. That didn’t happen because the Dixie Fire was simultaneously raging across the mountain range 100 miles (161 kilometers) to the north, on the way to becoming the second-largest wildfire in California history.

“I do think the Dixie and the way that it’s burned and its magnitude did impact the early response to the Caldor,” said Scott Stephens, a professor of wildland fire science at the University of California, Berkeley. “It really drew resources down so much that the Caldor got very few for the first couple days.”

By the time Caldor approached Lake Tahoe two weeks later, there were 4,000 fire personnel, dozens of water-dropping aircraft and hundreds of fire engines and bulldozers.

But all that manpower and equipment were overmatched by tinder dry conditions, whipping downslope winds and an overgrown forest ripe to burn, a half-dozen fire experts said. And with resources already stretched across the West and internationally, they said the long-term situation will only worsen as exhausted firefighters battle bigger blazes that start earlier and last longer.

“Mother Nature is calling the cards on our hubris that we can conquer and control wildfires during these extreme conditions,” said Timothy Ingalsbee, a former federal firefighter who now heads Oregon-based Firefighters United for Safety, Ethics and Ecology, which advocates for working with wildfires instead of reflexively putting them out.

The Caldor Fire ignited from an unknown cause on Aug. 14 in the steep wooded foothills east of California’s capital city of Sacramento. In the first few days, about 240 firefighters were dispatched, compared to the 6,550 firefighters battling the Dixie Fire at the time.

It wasn’t until four days later that Cal Fire Chief Thom Porter said fire managers diverted 30 fire engines from the Dixie Fire to the Caldor Fire. Overnight, the number of engines and firefighters nearly tripled. But by then the fire had already burned through Grizzly Flats, destroying dozens of homes in the town of about 1,200 people.

“We are moving resources around as needed, sharing among the incidents,” Porter told reporters on Aug. 18. But he acknowledged that “we are having a very difficult time” because resources were so stretched across the West.

Officials couldn’t say how many firefighters would have been ideal and when, but Cal Fire was candid that there initially was a shortage, said Ken Pimlott, who retired as the agency’s director in 2018 and lives a few miles from the fire’s origin.

“Early on, this was not the highest priority because there were other threats on other fires that were higher,” Pimlott said.

As the fire marched toward Lake Tahoe and its crystal clear waters that attract visitors from around the world, it destroyed hundreds of homes and other structures and left a firefighter with serious burns.

Still, officials predicted as recently as last weekend that they could hold the fire outside the Lake Tahoe Basin. They feverishly expanded fire lines to take advantage of the barren granite that caps the mountain chain which has formed an impenetrable barrier to flames in the past. This time, their optimism merely lulled residents into a false sense of security, leaving many scrambling to pack their lives in bags when evacuation orders came Monday.

Chad Hanson of the John Muir Project said fire managers were foolish to think they could stop the flames based on the expected winds.

“It is 100% predictable that under those conditions the fire will continue to move in that direction. So it’s hard for me to imagine why anyone would conclude otherwise,” said Hanson, a frequent critic of forest management efforts.

Firefighters had thought they made good progress during favorable conditions going into the weekend, said Jason Hunter, a spokesman for Caldor Fire managers. But then came the changing weather pattern with “incredibly gusty winds” that pushed burning embers over the crest.

“The weather, is what it boils down to, is what changed,” Hunter said. Containment projections are a “constantly moving target” based on evolving conditions, he said. The Caldor Fire’s containment projection has since been pushed back to Sept. 13.

Experts agreed conditions are grim because drought has been worsened by consecutive climate change-driven heat waves that sap humidity before dry winds whip flames and ferry embers sometimes a mile or more ahead of the main blaze.

“These embers are leapfrogging over fire lines and rivers, ridges and roads and other things that typically stop wildfire spread, and so you have these fires kind of hopscotching across the landscape,” Ingalsbee said.

Firefighters were outflanked by a shift in localized winds that funneled flames into the Tahoe basin, said John Battles, a University of California, Berkeley professor of forest ecology.

Fire managers have become adept at projecting the weather and how fuels will burn, but still lack the ability to predict localized winds at fires — some caused by the fires themselves — with 10 different computer models offering as many conflicting outcomes, he said.

“They’re trying to predict winds at a mountain pass. That is the most complex topography we have,” Battles said. “That’s why you have this feeling like they didn’t know what they’re doing.”

He added: “When you’re fighting a fire the size of the Caldor, you make your best guess.”

The Caldor Fire is just the second in modern history to have traversed the Sierra. The first was the Dixie Fire that started in mid-July near the town of Paradise and has grown to 1,300 square miles (3,367 square kilometers), more than four times as large as Caldor.

Such monster fires typically come later in the year when conditions are their driest but also when cooler days, rising humidity and ultimately rain and snow have aided the firefight, said Char Miller, a professor at Pomona College who has written extensively about wildfires.

But California has received far less precipitation than normal the last two years and there’s no guarantee more will arrive this fall to aid firefighters. “This may burn through October,” Miller said.

Yet the fire experts said the biggest challenge is neither drought nor climate change, but the overgrown forests that could actually benefit from fire — so long as it is set or allowed to burn at a low intensity during the spring or fall before it can explode out of control.

Firefighters still quickly contain about 95% of fires, but it’s the ones that escape that do the major damage, Pimlott said. Once fires spread, firefighters may need to start prioritizing communities that can be protected while letting the flames burn around them, he said.

“It’s a hard pill to swallow for all of us in the firefighting community, because we want to put these fires to bed,” he said. “We just may not be able to do that on every one of these fires, because of the conditions we’re facing.”

Inside a Florida Hospital Full of Dying, Unvaxxed Thirtysomethings

Inside a Florida Hospital Full of Dying, Unvaxxed Thirtysomethings

Photo Illustration by Sarah Rogers/The Daily Beast / Photos Getty
Photo Illustration by Sarah Rogers/The Daily Beast / Photos Getty

 

MIAMI—After ending a 12-hour shift on Sunday, an intensive-care unit nurse at Baptist Hospital was ready to put August behind her.

The nurse, who spoke on condition of anonymity because she did not have permission from the hospital to speak to reporters, said the past month was the worst of the pandemic so far—echoing the horrific hard numbers in the state.

“It’s horrible,” the nurse told The Daily Beast. “I’ve never bagged so many thirtysomething-year-olds, leaving behind young kids, pregnant wives.”

“The screams when we tell them their loved ones didn’t make it,” the nurse added. “We’re exhausted.”

Across much of America, frontline hospital workers are going through similar stress and fatigue as they grapple with a devastating coronavirus surge primarily fueled by the Delta variant and vaccine hesitancy. But in Florida, experts and medical workers say, a uniquely stubborn and denialist Gov. Ron DeSantis has helped transform hot vaxx summer into a summer from hell.

With skyrocketing numbers of cases, hospitalizations, and deaths this summer, any optimism that the Sunshine State was rounding the corner on the pandemic has been laid to waste. And September may not offer any respite.

<div class="inline-image__caption"><p>Florida Gov. Ron DeSantis has hardened his resolve against mask and vaccine mandates even as his state's ICUs fill up.</p></div> <div class="inline-image__credit">Joe Raedle/Getty</div>Florida Gov. Ron DeSantis has hardened his resolve against mask and vaccine mandates even as his state’s ICUs fill up. Joe Raedle/Getty

According to a Miami Herald analysis of recent Centers for Disease Control and Prevention data, Florida added at least 894 deaths on a single day to its August tally as reported to the agency this past week. According to The New York Times’ COVID-19 tracker, an average of 262 Floridians a day drew their last breaths during the seven days ending Aug. 31, representing about a sixth of the nationwide total. Over the past week, COVID-19 hospitalizations mercifully trended downward, except for Aug. 30, when there was an uptick by 10 patients, according to data from the U.S. Department of Health and Human Services.

Interviews with employees and internal emails obtained by The Daily Beast show how Baptist, like other hospitals, struggled to keep up with a torrent of new COVID-19 patients, a majority unvaccinated and under 65—and sometimes much younger. Instead of breathing a sigh of relief after a year and a half of nightmarish case loads, the hospital’s halls transformed into spectacles of pandemic skepticism and death.

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Spokespersons for Baptist Health South Florida, the nonprofit company that owns Baptist Hospital, did not respond to multiple requests for comment.

In an Aug. 20 email to all employees, Baptist Hospital CEO Patricia Rosello told her workforce that the previous evening, three people in their thirties died from COVID-19.

“We realized this week that not everyone who works here realizes how different this surge has been,” Rosello wrote. “We want you to share this data and information with your friends and family as we all have to do our part in sharing the TRUTH. Many of your colleagues are having to face the multiple deaths of young people. We have pregnant patients with COVID in our ICU and that is something we did not experience before.”

Rosello warned that the start of the new school year and the Labor Day holiday would likely send more people to the emergency room seeking treatment for COVID-19. “Unfortunately, we will see our numbers rise, so we have to continue to be strong and resilient.”

Her email contained the hospital’s coronavirus update, which stated that Baptist had experienced a 700 percent increase in the number of patients not breathing and flat-lining throughout its COVID-19 units from June until Aug. 20.

“We’ve had code blues going off all the time,” the nurse working at the hospital told The Daily Beast, referring to an emergency code hospital staff respond to when a patient is in cardiac arrest or having respiratory issues. “It’s very scary.”

The same day, a separate email sent out to all Baptist hospital nurses informed them that the oxygen supply had reached critical levels.

“Everyone, please be extra aware that our oxygen supply is at critically low levels due to the high number of patients on high flow oxygen,” the email stated. “When you are rounding in your areas and in patient rooms, please ensure that the oxygen on the wall is OFF when not in use.”

The email also noted that the number of COVID-19 patients actively in the hospital had eclipsed 300—and that the number of patients requiring constant observation had risen to record levels.

A video clip uploaded to the hospital’s Facebook account that day showed a masked ICU nurse named Alexis choking through tears as she talked about treating an unvaccinated pregnant young woman and other patients in their adult prime. “COVID this time around is no joke,” she said. “It is beyond scary to see someone my age in here with breathing tubes and lines [inserted] everywhere you can think of. The fact that some of these people cannot hold their loved one’s hand is very heartbreaking.”

Amid the COVID-19 chaos, Gov. DeSantis has hardened his resolve against mask mandates in schools and to prevent businesses—such as cruise lines—from requiring employees and customers to provide proof of vaccination. On Monday, the state Department of Health even dangled $5,000 fines against businesses that require proof of vaccination.

The DeSantis administration is also facing new criticism for how it is tabulating the pandemic death toll.

The Herald reported Tuesday that the Florida Department of Health changed its reporting format for death data to the CDC as cases mushroomed worse than ever last month. The tweak in the reporting system caused the health department’s Monday update to show just 46 new deaths per day over the previous seven days. If the state had used the previous metric, it would show the number of average daily deaths was 262.

Meanwhile, DeSantis is in full combat mode, sparring with national media outlets and President Joe Biden’s administration while playing to his Republican base.

Last week, during an appearance on Fox News, DeSantis hyped his administration’s barnstorming push to provide free Regeneron monoclonal antibody treatments to people sick with COVID-19 at pop-up medical sites around Florida. The governor also made sure to take shots at the current occupant in the White House.

“You know, he said he was going to end COVID,” DeSantis crowed. “He hasn’t done that. We are the first state to start the treatment centers for monoclonal antibodies. We’re having great success with that.”

DeSantis intimated that Biden’s administration should follow Florida’s lead in making monoclonal antibody treatments easily available across the U.S: “At the end of the day, he is trying to find a way to distract from the failures of his presidency.”

Marissa Levine, an infectious-disease professor at the University of South Florida, said DeSantis’ approach failed to meet the needs imposed by a rapidly-changing reality.

“The pandemic is an evolving situation involving a series of outbreaks in different places at different points in time,” Levine said. “You have to continue learning and adapting as you go. You can’t create a line-in-the-sand policy to respond to a constantly evolving situation.”

She added, “I don’t think that approach is the right approach in successfully dealing with a pandemic.”

Christina Pushaw, a DeSantis spokeswoman, told The Daily Beast the latest criticisms of her boss were unfair. She insisted the governor’s office, along with the Florida Department of Health, have consistently advocated for vaccines, and now monoclonal antibody treatments, as the best tools to fight COVID-19, based on science.

“Gov. DeSantis has done more than 50 events in 27 counties promoting the vaccines,” Pushaw said Tuesday. “At every Regeneron press conference, including three he did yesterday, he talks for a few minutes about the vaccines.”

Whether it’s fear of the Delta variant or DeSantis reminding people to get their shots at his Regeneron events, vaccination rates are up this past month, Pushaw said. She also said Floridians who were getting free Regeneron treatments have also led to recent decreases in COVID-19 hospitalizations.

Even with Florida reporting an average of over 200 COVID-19 deaths each day during the last week of August—the highest in the nation, according to the Washington Post—Pushsaw said the state was faring much better than the rest of the country. That is, she argued, if you take into account the overall number of deaths since the pandemic began.

She pointed to the CDC’s rankings of age adjusted deaths by state, which shows Florida ranks 17th in the nation.

“The bottom line is that Gov. DeSantis is giving Floridians the facts about vaccines and the monoclonal antibody treatments,” Pushaw said. “Gov. DeSantis is saving lives by expanding access to free monoclonal antibody treatment. He feels that all Americans who could benefit from this treatment should have access to sites like the ones in Florida.”

Even if Pushaw can point to the governor’s Regeneron tour as having had a positive impact in helping alleviate strained hospitals, the situation inside Baptist’s intensive care unit remains dire.

According to the hospital’s Aug. 27 and Aug. 30 COVID-19 census updates, the number of patients went down from 248 to 222 between those dates—but the intensive care unit was still slammed. Both updates noted that the number of patients requiring “high acuity” care had not decreased at the same rate as people who come in and are discharged.

“High acuity means patients who have been intubated or need constant high-flow oxygen,” the ICU nurse told The Daily Beast. “Those beds are still full.”

The Aug. 27 update also said that a 50-year-old and three patients in their 30s died the previous day, and that 61 percent of the patients requiring constant observation were between the ages of 18 and 65. Staff were again instructed to keep tabs on oxygen levels.

“The statewide oxygen shortage continues to present challenges to hospitals throughout Florida, and the demand for oxygen will continue to increase, so conservation is crucial,” the update read.

According to the Aug. 30 summary, last month, Baptist had 90 patients die from COVID-19, the highest number of deaths at the hospital during any given month of the pandemic.

Last Friday, a second ICU nurse told The Daily Beast, the hospital only had 32 hours of oxygen left when she arrived for her shift.

“The oxygen truck came later that night,” she said. “Last weekend, the morgue was full and we had two freezer trailers outside. One filled up by midnight the same day.”

The nurse, who also spoke on the condition of anonymity, said 90 percent of the COVID-19 patients she treated were unvaccinated, and of the ones who died, 99 percent did not get vaccines.

“It’s a nightmare I wish we could wake up from,” the second nurse said.

Property owners are paying up to hundreds of thousands of dollars to lift their homes above flood zones during dangerous hurricane season

Property owners are paying up to hundreds of thousands of dollars to lift their homes above flood zones during dangerous hurricane season

Property owners are paying up to hundreds of thousands of dollars to lift their homes above flood zones during dangerous hurricane season
An elevated house rests on newly constructed pillings nearly a year after it was damaged by Hurricane Sandy
An elevated house rests on newly constructed pilings nearly a year after it was damaged by Hurricane Sandy, which cost an estimated $70 billion in damages. Ramin Talaie/Corbis via Getty Images 

  • Companies that lift houses and build sea walls to protect homes from flooding are busier than ever.
  • 2020 set a new record with 22 extreme weather events costing over $1 billion in damages each.
  • “That’s all we do. Everything is seawall construction and raising houses,” one company told Insider.

In many coastal communities along the East Coast, houses large and small stand 15 feet in the air on concrete or wooden pilings. The view: gorgeous beaches and deadly flood zones.

In 2012, Hurricane Sandy destroyed over 600,000 homes and killed more than 200 people, costing approximately $70 billion in damages. Last year, climate disasters in the US set a new record with 22 extreme weather events costing over $1 billion each.

Since Hurricane Sandy, construction companies along the East Coast have been busy fortifying oceanfront buildings against storms that experts say are only getting stronger as a result of climate change.

“That’s all we do. We’re always on the water,” Kevin Braza, owner of K.E. Braza Construction in Connecticut, told Insider. “We haven’t taken any jobs off the beach, to be honest with you. Everything is seawall construction and raising houses.”

Wolfe House & Building Movers said house-lifting costs can range anywhere from $10,000 to over $100,000 for larger buildings – and that’s excluding foundation and utility work.

According to Braza, almost all of his clients own properties worth at least one million dollars, with one sea wall project coming with a price tag of approximately $2 million.

“Believe it or not, the million-dollar-plus homes are people’s summer homes, which is crazy,” he said. “In the summertime, they don’t want us on the beach, and now in the fall when this hurricane season comes around, people are really freaking out.”

What is left of a house at 705 Front Street on Union Beach, New Jersey after Hurricane Sandy. Residents who lived near the water found many of their homes are either gone or condemned.
What is left of a house on Union Beach, New Jersey after Hurricane Sandy. Residents who lived near the water found many of their homes are either gone or condemned. Debra L Rothenberg/Getty Images

 

Beyond individual homeowners, Braza said his company’s main clients are beach associations where hundreds of members pay for neighborhood sea walls or dock and jetty repairs.

Even though the Atlantic hurricane season lasts from June to late November, Braza said requests like these surge during the early fall months.

After a summer riddled with extreme flooding, homeowners are rushing to prevent future damages – but nobody wants excavators on their private beaches during June and July, he said.

One of the largest financial incentives for lifting homes above projected flood zones is FEMA’s National Flood Insurance Program. “Elevation certificates” that show an at-risk property has been lifted above the floodplain can drastically decrease insurance costs.

“They change the flood zone heights every year,” Braza told Insider. “If they’re telling you that your house isn’t going to be there in 10 or 15 years, people freak out.”

Wolfe’s Mike Brovont has been working in the house-lifting business for over two decades. He said the states with the highest demand for house lifting that Wolfe operates in are Connecticut, New Jersey, and Maryland.

“The year or two after a big storm there’s always an increasing demand,” he told Insider. “I haven’t seen a lot of people that are lifting due to rising sea levels. I think that’s still a slow enough thing that … people aren’t really worried as far as the immediate danger.”

Braza said he thinks climate change has played a role in the surge in demand – he said he gets new requests every other day.

Losses mount as Caldor fire rages; Biden declares emergency

Losses mount as Caldor fire rages; Biden declares emergency

Caldor fire is reflected off of Caples Lake near Kirkwood ski resort Wednesday.
The Caldor fire is reflected off Caples Lake near Kirkwood ski resort Wednesday. (Wally Skalij / Los Angeles Times)

 

President Biden declared an emergency in California that will allow federal assistance for the Caldor fire, which has burned hundreds of structures and is moving toward Nevada.

The fire took aim at Lake Tahoe for several days amid heavy winds. But that threat became one of many as the fire moved in other directions, including north toward Wrights Lake and Desolation Wilderness and south toward Kirkwood. Officials say it remains highly dangerous, and thousands of weary firefighters are battling it on several fronts.

Crews may get a break Thursday as red flag conditions are expected to abate, according to incident meteorologist Jim Dudley. However, dry conditions and low humidity will remain persistent problems.

The fire roared to more than 200,000 acres Wednesday but stayed mostly clear of the resort town as crews scrambled to keep it east of Pioneer Trail. Firefighters also managed to protect many of the homes in Christmas Valley and Meyers, both within the Tahoe basin.

By Thursday morning, it had reached 210,259 acres and was 25% contained.

Officials confirmed some damage on the outskirts of the Sierra-at-Tahoe ski resort late Wednesday night, said Assistant Chief Jamie Moore, a Los Angeles firefighter working as part of the state’s interagency effort on the Caldor fire.

“They did lose some outbuildings, but the main lodge was not damaged,” Moore said. Active structure defense is ongoing in Twin Bridges and Strawberry.

As of Thursday morning, 622 homes and 12 commercial properties had been destroyed by the fire, officials said. More than 32,000 structures remained threatened.

Yet even as officials expressed some optimism amid improving weather conditions, a new possibility was looming as the head of the fire moved east toward the Nevada state line.

The eastern flank of the fire was a top concern, officials said.

“This is where we have a lot of focus,” Cal Fire spokesman Beale Monday said. “All of our resource focus on this side is all broken up into structure protection, and trying to skirt that fire away from the valuables at risk and the communities down here.”

Monday said crews were laying bulldozer lines on the east side of Pioneer Trail and on the west side of Truckee Drive in an effort to keep flames away from South Lake Tahoe. Crews were also removing brush and debris from the side of the highways in the event that they have to ignite a backfire, he said.

Officials were considering opportunities to build a “catcher’s mitt” beyond the immediate fire lines and into Nevada to stop the fire’s march east, he said.

At Heavenly ski resort, near the state border, containment lines made with bulldozers appeared to be keeping the fire at bay. However, on the northern side of the wildfire flames remained active near the picturesque Desolation Wilderness and Wrights Lake.

To the south, plumes of smoke rose behind Kirkwood Mountain ski resort as officials used snow spreaders to wet down the area. Fire engines were parked throughout the community, poised to defend dozens of homes as well as resort property.

As of Wednesday night, the fire was about five miles from the state line, Moore said.

“I’d be surprised if it doesn’t make it to Nevada in the next day or so,” said Craig Clements, a professor of meteorology and director of the Wildfire Interdisciplinary Research Center at San Jose State University.

Clements’ team used dynamic computer modeling to forecast the fire’s likely behavior. The model initially showed the fire reaching Nevada late Wednesday night or early Thursday, he said, but was later amended to reflect slowing spread.

“This is a difficult fire to forecast,” Clements said, noting that it is burning in complex terrain with very dry vegetation. “But our model shows it’s going to keep going east.”

Fire behavior analyst Steven Volmer said, given the hot, dry conditions in the area, the probability of an errant ember sparking a new fire remained high.

“The terrain-driven winds are going to be what’s forcing the fire spread today,” he said Thursday morning.

Biden’s declaration allows for federal agencies to provide relief measures in areas hit hard by the fires.

Largest study of masks yet details their importance in fighting Covid-19

Largest study of masks yet details their importance in fighting Covid-19

 

A study involving more than 340,000 people in Bangladesh offers some of the strongest real-world evidence yet that mask use can help communities slow the spread of Covid-19.

The research, conducted across 600 villages in rural Bangladesh, is the largest randomized trial to demonstrate the effectiveness of surgical masks, in particular, to curb transmission of the coronavirus. Though previous, smaller studies in laboratories and hospitals have shown that masks can help prevent the spread of Covid, the new findings demonstrate that efficacy in the real world — and on an enormous scale.

“This is really solid data that combines the control of a lab study with real-life actions of people in the world to see if we can get people to wear masks, and if the masks work,” said Laura Kwong, an assistant professor of environmental health sciences at the University of California, Berkeley, and one of the co-authors of the study.

The preprint study was posted online Wednesday by the nonprofit organization Innovations for Poverty Action and is currently undergoing peer review. The research was led by Kwong, Jason Abaluck and Mushfiq Mobarak from Yale University, and Steve Luby and Ashley Styczynski from Stanford University.

Related video: Study confirms vaccine effectiveness

The study’s findings have important implications for countries that are relying on mitigation measures to slow the virus’s spread until vaccines are more readily available. But there are also applicable lessons for nations like the United States, where some communities are reimposing mask mandates to stem outbreaks of the delta variant.

“The policy question we were trying to answer was: If you can distribute masks and get people to wear them, do they work?” said study co-author Mushfiq Mobarak, a professor of economics at Yale.

For five months beginning last November, Mobarak and his colleagues tracked 342,126 adult Bangladeshis and randomly selected villages to roll out programs to promote their usage, which included distributing free masks to households, providing information about their importance and reinforcing their use in the community.

Among the roughly 178,000 individuals who were encouraged to wear them, the scientists found that mask-wearing increased by almost 30 percent and that the change in behavior persisted for 10 weeks or more. After the program was instituted, the researchers reported an 11.9 percent decrease in symptomatic Covid symptoms and a 9.3 percent reduction in symptomatic seroprevalence, which indicates that the virus was detected in blood tests.

While the effect may seem small, the results offer a glimpse of just how much masks matter, Mobarak said.

“A 30-percent increase in mask-wearing led to a 10 percent drop in Covid, so imagine if there was a 100-percent increase — if everybody wore a mask and we saw a 100-percent change,” he said.

The scientists said masks significantly reduced symptomatic infections among older adults, and found that surgical masks were more effective than cloth versions.

Kwong said those findings may be especially important for countries such as the U.S., where people spend much more time indoors compared to those in rural Bangladesh.

“Right now, places say to cover your face but they don’t say what type of face covering,” she said. “If schools and workplaces and other indoor public spaces are going to mandate masks, they should be working to mandate surgical masks.”

Ajay Sethi, an epidemiologist and associate professor of population health sciences at the University of Wisconsin-Madison, who was not involved with the study, called the research “thoughtfully put together” and “impressive on many different levels.”

He added that the project demonstrated that strategies can be effectively implemented in communities to change mask behavior. In the U.S., public health officials have struggled to promote their usage after masks were politicized early in the pandemic.

“Normative behavior is what needs to be targeted,” Sethi said. “It’s not just mask use that needs to be adopted, it’s also an understanding of why masks need to be used and reinforcement that the virus is serious.”

Kwong and her colleagues are now expanding their research to include other villages and cities in Asia and sub-Saharan Africa. The researchers also intend to track the effect of masks on asymptomatic transmission.

Dr. Isaac Bogoch, an infectious diseases physician and associate professor of medicine at the University of Toronto, said the research helps reinforce what was known about the effectiveness of masks, but he stressed that people should see them as just one of multiple interventions needed to stop the spread of Covid.

“We need vaccinations, better ventilation in indoor settings, crowd control, physical distancing — all these different added layers of protection,” he said. “Masks certainly help, but we can’t mask our way out of the pandemic.”

If U.S. had fought COVID like Denmark did, hundreds of thousands of Americans would be alive | Opinion

If U.S. had fought COVID like Denmark did, hundreds of thousands of Americans would be alive | Opinion

COPENHAGEN, Denmark — Virtually nobody here wears a face mask on the street or inside shops and restaurants — a huge surprise. It’s almost as if the COVID-19 pandemic were a distant memory.

As soon as I left the Copenhagen airport and took a taxi to the city, the driver — who was not wearing a mask — told me that I didn’t need to wear one in Denmark. “It hasn’t been required for several months,” he said. When we entered the city, I noticed that, indeed, almost no one was wearing a mask.

In Denmark, 72% of the people have been fully vaccinated, as opposed to 51% in the United States, 31% in Argentina and 25% in Mexico. And by almost every standard, Denmark has done much better than the United States and most other countries in fighting the pandemic.

The cumulative number of COVID-19 deaths per million people in Denmark is of 442, compared with 1,904 in the United States, according to Oxford University’s Ourworldindata.org website.

In conversations with Danes from all walks of life, virtually all of them told me the same thing: Denmark has succeeded in its battle against COVID-19 because most of the population followed the advice of government officials and experts from the start.

In early 2020, when the government ordered a stringent lockdown, everybody complied. When the government asked people to get vaccinated, almost everyone did. Government officials say that most of those who didn’t get vaccinated were young people, who thought that COVID-19 posed no threat to them. Now, the government is launching a vaccination campaign in schools and colleges, aiming at a full vaccination rate of 90% of the population.

To enter the country, you need to show a negative COVID-19 test taken in the past 72 hours. Every time I went to a restaurant, I had to show proof of vaccination. But the government announced on Aug. 27 that this and all other domestic restrictions will expire on Sept. 10, because the pandemic is “under control.”

“We believe in authorities, we believe in experts,” Bertel Haarder, a member of Parliament and former education and culture minister, told me in an interview. “When experts tell us that we should get vaccinated, then the Danes have a tendency to get vaccinated.”

Gert Tinggaard Svendsen, a professor of comparative politics at Aarhus University and author of a book on trust, agrees.

“Here, people trust the government,” Svensen told me. “When the government told Danes that vaccines were good for you, people trusted the government.”

Compare this to the United States where, possible cultural differences aside, we had a president — Donald Trump — who, unlike Danish leaders, minimized the pandemic from the very start. In February 2020, when Danish officials announced they were about to order a national lockdown, Trump was saying that “It’s going to be just fine,” and “I’m not concerned at all.”

Worse, Trump didn’t set an example by wearing a mask in public, often mocked those who did and, at one point suggested that people should inject themselves with a disinfectant to fight COVID-19.

From then on, things in America only got worse. The Republican Party — with a few honorable exceptions — has abandoned common sense by following in Trump’s footsteps, fighting mask mandates and failing to actively campaign for mass vaccinations, hoping to hurt President Biden’s initially successful offensive against the virus.

That’s insane. It’s costing thousands of American lives — many more than those lost in Afghanistan, or any other war.

Let’s follow Denmark’s example. I’m not suggesting to put all our trust in our politicians, because we’ve had a bad experience with that. But we should follow what the consensus of the scientific community says: Get vaccinated, wear a mask, and keep your distance!

Don’t miss the “Oppenheimer Presenta” TV show on Sundays at 8 pm E.T. on CNN en Español. 

Is rural America becoming a new Confederacy?

Is rural America becoming a new Confederacy?

A farm.
A farm. Illustrated | iStock

 

What if the polarization of American politics and rise of right-wing populism in the Republican Party are a function of rural parts of the country becoming more like the historic South?

That is the surprising suggestion of Will Wilkinson in a fruitfully provocative Substack post. Wilkinson is something of an expert on the subject, having done important empirical work on the role of population density in driving political polarization and populist backlash. His argument, in sum: Polarization and populism are caused by urbanization and its economic, social, and political consequences, with cities growing demographically and economically, and becoming more progressive, over time, while depopulating rural areas succumb to economic decline and zero-sum, reactionary politics.

In his latest post, Wilkinson merely extends this research a few steps by observing both an increasing cultural homogenization across different rural areas, each of which used to be more distinctive, and the growing prevalence of Confederate flags far outside of the historic South, in the rural areas of northern states and states that didn’t even exist at the time of the Civil War.

So far, these are merely anecdotes, but if verified by more rigorous research they could point toward something real and important: Not just growing ideological unification across the rural areas of the country, but the drift of that ideology in the direction of the Confederacy. The point isn’t that the American countryside increasingly wants to avenge the honor of Southern slave owners for their loss in a war that ended over a century and a half ago. Rather, the people who live in these areas share with the historic South an intense distrust of the federal government, veneration of local law enforcement, resentment of city folk, suspicion of minorities and foreigners, hostility to technologically driven change, and a keen sensitivity to cultural slights.

Those are the senses in which we may be living through what Wilkinson calls the “Southernification of rural America.”

Wilkinson himself leaves unanswered both how and why this may be happening. On the question of how, I’d look at social media and its remarkable capacity to forge ideological solidarity across vast distances in the real world. Where prior to the rise of Facebook, Twitter, and Reddit, an angry resident of rural Maine would have found no political outlet for his rage beyond his own community, now he might link up online with likeminded residents of rural Mississippi and Oregon, recognizing a similar set of grievances and organizing a virtual community around them.

As for why growing numbers are gravitating toward Confederate ideas and iconography, it may be nothing more than an example of people grabbing onto what’s at hand. The South has long produced an abundant supply of populist anger and resentment. Maybe all that has changed in our time is that there is now a much larger audience and much greater demand for that poisonous political message.