Axios

The NBA said Friday that all personnel who will be in close proximity to players and referees must be fully vaccinated, according to a company memo shared with Axios.

State of play: This includes anyone who travels with teams, those who are around the bench areas and those who have access to the locker rooms. Team staff must be vaccinated by Oct. 1.

Liberty University announced a campus-wide temporary "mitigation period" on Thursday due to a recent surge in COVID-19 cases at the school.

Why it matters: The move illustrates the challenges ahead for universities returning to full, in-person classes without vaccine mandates or other virus-related precautions in place.

COVID's origin is still inconclusive, according to an unclassified intelligence report publicly released Friday.

Driving the news: Chinese officials had no knowledge of the virus prior to its initial outbreak, according to the report, though it doesn't rule out the lab leak or animal transmission theories. The intelligence community "remains divided."

The Biden administration plans to issue a statement clarifying there is no change to their planned timeline for recommending boosters after people finish their primary immunization, despite comments from the president this afternoon.

What they're saying: "We are going to start the booster program in mid-September. There's no change in our timeline," a press release says, according to a senior Biden administration official. The move is also pending authorization by the FDA and the CDC's advisory panel known as ACIP, a senior Biden administration official told Axios.

The U.S. has set up a coronavirus vaccination site for Afghans arriving at the Dulles International Airport in Virginia, a White House official told Axios.

State of play: Upon arrival, all Afghan evacuees are first tested for the virus and vaccines are then offered to those who test negative. The Federal Emergency Management Agency set up the vaccination site at the Dulles Expo center, and the vaccines are being administered by the Department of Health and Human Services, the White House official said.

It’s not just the hospitals feeling pressure from the Delta wave — this time around, local ambulance companies are overwhelmed, too.

Why it matters: Across the U.S., wait times for EMS have skyrocketed.

• The problem is two-fold: The number of patients seeking emergency rebounded quickly from a pandemic lull.
• At the same time, hospitals are getting overwhelmed in some places. In some rural areas, EMS trucks have to sometimes drive hundreds of miles to respond to calls, even crossing state lines to pick up patients —  only to arrive at hospitals with no available beds.

Demand has soared in recent weeks for monoclonal antibodies to treat COVID-19 infections.

Why it matters: Monoclonal antibodies — the treatment then-President Trump received when he got COVID — had a slow initial uptake, but are now gaining ground in the pandemic's fourth wave.

The Supreme Court blocked President Biden's moratorium on evictions in a 6-3 ruling on Thursday.

Why it matters: Roughly 3.5 million people across the U.S. said they faced eviction in the next two months, per Census Bureau data from mid-August.

Kentucky Gov. Andy Beshear said Thursday that the record-high surge in COVID-19 cases would have led to a statewide mask mandate if that authority still lay with him.

Why it matters: Kentucky's Supreme Court recently transferred authority over pandemic-related decisions, including masking, to the GOP-controlled state legislature, according to the Democratic governor.

Towns in northern and central California registered some of the worst air quality in the world Thursday because of smoke from wildfires burning in the state, according to data from the federal government.

Why it matters: Microscopic particles suspended in wildfire smoke are a danger to the public and have been linked to decreased lung function, aggravated asthma, heart attacks and premature death in people with heart and lung disease, according to the Environmental Protection Agency.

Illinois Gov. J.B. Pritzker on Thursday announced a statewide indoor mask mandate and vaccine requirements for state workers, including teachers and school staff.

Why it matters: The Democratic governor's latest restrictions come as COVID-19 cases across the state are on the upswing, largely driven by the Delta variant. "Unfortunately, we are running out of time as our hospitals run out of beds," Pritzker said at a news conference Thursday.

Pfizer and BioNTech announced on Thursday a deal with Brazilian pharmaceutical company Eurofarma to manufacture its COVID-19 vaccine for distribution in Latin America.

Why it matters: Latin American countries have struggled to vaccinate their populations due to a low supply of doses of the COVID-19 vaccines. The new deal would boost local manufacturing and distribution of doses.

Vaccinated Americans are facing a disheartening reality: Even after getting the shot, they'll have to live with some level of risk from the coronavirus for the foreseeable future.

State of play: A glut of data released over the past few weeks supports the idea that coronavirus vaccine effectiveness against infection begins to wane over time, although it remains effective against severe disease.

• Most of the data suggest effectiveness is on the decline within six months post-vaccination. The Biden administration, however, plans to recommend a booster after eight months — which appears to still be well before effectiveness against severe disease significantly wanes, if that ends up happening at all.
• "6 months is the time of significant waning, not 8 months. That time was likely only selected due to logistics," Eric Topol, executive vice president of Scripps Research, told Axios.

The context: But the U.S. vaccination campaign began in December which means millions of vaccinated Americans are likely significantly less protected than when they completed their first round of shots.

• That's not even accounting for the possibility that the vaccines are less effective against the Delta variant specifically, in addition to losing potency over time.

That means that — at least until we get a booster — we all have to figure out how to live our lives knowing that our vaccines are imperfect at keeping us from getting sick, but work very well at keeping us alive and out of the hospital.

• That's very normal for vaccines, experts say, and may remain true even with boosters.
• “Where the public got spoiled here was the response to the mRNA vaccines was so strong” that it gave people protection against infection, “which was a welcome bonus," said Cornell virologist John Moore. "That was unexpected and very welcome, but it wasn’t normal."

My thought bubble: I am also trying to figure out what is a sustainable and ethical level of risk to incorporate into my life, and it's hard.

• As a low-risk person, my main fear isn't getting the virus; it's contributing to its spread among the unvaccinated and the vulnerable.
• That means I'm back to wondering whether I should dine indoors, struggling to make travel plans and taking coronavirus tests after being in what I perceive to be high-risk situations. These are all things I had hoped were behind me after I became fully vaccinated.

Yes, but: Just because risk will always be with us doesn't mean it will always be this bad.

• A giant reason why breakthrough cases are common right now is because so much virus is circulating through the U.S. If the country's caseload decreases, everyone will be less likely to be exposed to the virus — including vaccinated people.
• And at-risk Americans will likely be first in line for booster shots, meaning the people who have the most to lose from breakthrough cases will soon have extra protection.

The bottom line: It would be foolish to assume that your coronavirus vaccine will continuously provide you near-perfect protection against infection.

• It is also, for most vaccinated people, unrealistic to worry that an infection would be life-threatening.
• Simultaneously, visiting your grandmother in a nursing home right now does require caution, especially if you have been resuming pre-COVID life.

New coronavirus infections continue to rise across the U.S., perpetuating a preventable wave of suffering that's already straining hospitals and killing an average of 1,000 Americans per day.

The big picture: The biggest increases are happening primarily in a cluster of states where vaccination rates are low and safety measures like masks are spotty.

As children head back to the classroom, a "vocal minority" in the U.S. have resorted to violence or disruptive measures to protest against mask mandates in schools.

Driving the news: While the majority of Americans support the mandates, per a recent Axios/Ipsos poll, back-to-school confrontations across the U.S. have gotten so hot that teachers and other officials have been punched, hit and screamed at.

Experts studying the origins of COVID-19 for the World Health Organization (WHO) warned that the study has stalled and the "window of opportunity" is closing to trace the virus' origins.

Why it matters: The scientists warn in an essay in the journal Nature that any further delay "will render some of the studies biologically impossible," hampering understanding of the origins of the pandemic.

The Episcopal Diocese of Maine is mandating COVID-19 vaccines for all clergy and diocesan staff.

Why it matters: Maine Bishop Thomas Brown's decision marks one of the first vaccine mandates for clergy in the U.S., per the Religious News Service.

Gov. Greg Abbott has issued an executive order banning COVID-19 vaccine mandates by any Texas government entity and urged state lawmakers to pass it into law during the ongoing special session.

Why it matters: The announcement comes as Texas grapples with a massive surge in coronavirus cases and as the state reported the most COVID hospitalizations since the pandemic began.