The Brief

If it seems like a lot of people are getting COVID right now, you’re not imagining it.

We’re in the middle of a worldwide summer COVID-19 wave.

A high or very high level of COVID-19 virus is being detected in wastewater in almost every state, according to data from the Centers for Disease Control and Prevention. At least 10 other states have a high amount of COVID in the wastewater.

“We’re now relying on wastewater data, because people aren’t testing. We can’t have other reliable measures,” said Dr. Ashish Jha, dean of the School of Public Health at Brown University and former White House COVID-19 response coordinator in an interview with NPR’s Morning Edition. He said that based on the wastewater data, “this is turning out to be possibly the biggest summer wave we’ve had.”

This summer’s surge, explained

Jha said we’ve settled into what feels like a more familiar pattern with COVID. Recently, the CDC labeled COVID as being endemic, meaning that COVID is here to stay in predictable ways.

There are two waves a year: one during summer and another during winter. The summer wave tends to be a little smaller, while the winter wave is bigger. But unlike the flu, which has a wave in the winter and almost no cases after, COVID infections can rise in between waves.

“It’s looking like this is probably not a seasonal virus, so it will likely be year round,” said Dr. Otto Yang, associate chief of infectious diseases and UCLA and professor of medicine in an interview with Morning Edition.

Jha adds that the summer wave this year is still smaller than any of the winter ones, but as far as summer waves go, this has been a substantial one. It started a little earlier than the one last summer, and infections are still rising. Jha is hopeful that the surge will peak and ease soon, but he doesn’t know exactly when that will happen.

New dominant variants causing spread

COVID is continuing to evolve very rapidly, and every three or four months we get a new COVID variant. This summer, the dominant strains of COVID are KP.3.1.1, accounting for 27.8% of U.S cases and KP.3, accounting for 20.1%, according to data from the CDC and the Infectious Diseases Society of America. Jha said that these variants evolved from Omicron.

“It doesn’t seem like these variants are more deadly. But they are almost certainly more contagious,” said Yang. “So if you have something that’s equally deadly but more contagious, you will see more severe illnesses and deaths.”

The role a new vaccine out in September could play

A new vaccine is currently being developed to target these new dominant variants. It is expected to come out in September.

“They’re better matched to their variants. The antibodies should work better. And so they would hopefully reduce the number of people that are getting symptomatic COVID and hopefully with that reduce the circulation,” said Yang. Like the current vaccines, Yang expects the new vaccine to work well to prevent severe illness and death.

Jha echoed that the new vaccines will be very protective against the current variants. He said the vaccines available right now are targeted to the variants that were dominant last year, and those are long gone. The COVID vaccines are “not going to provide a lot of protection against infection, if any at all. But they would still provide some protection against serious illness,” he said.

If you haven’t gotten your vaccine this year, Jha recommends waiting until the new vaccine comes out in a few weeks for the best protection.

He acknowledges that asking people to make substantial changes to their lives four and a half years into the virus is a tall order. For most people, he said, getting vaccinated is good enough. And if you are high risk and do get infected, treatments like Paxlovid are a great option, he added.

So how often should you get a COVID booster?

Jha said that the recommendation for most people is to get one shot a year, He said there’s evidence that for the highest risk people, like elderly people in their late 70s or 80s or people who are immunocompromised, a second shot in the spring can offer an important level of protection. And for most Americans, they should focus on getting one shot a year.

“What I recommend to people is they get it around the time they get their flu shot, which is usually in late September or October,” said Jha.

Yang, though, thinks it is a good idea for anyone to get a booster if they haven’t had a COVID vaccine in six months.

Even though Jha said this may be the worst summer COVID spike we’ve had, he said there is some good news.

“If you look at deaths from COVID so far in 2024, it’s down pretty substantially from 2023. So yes, we’re getting these surges… but they’re not turning into hospitalizations and deaths at the same kind of numbers we’ve seen in past years,” Jha said. “That’s progress. That’s good news. That is immunity being built up over time. And so each infection just doesn’t mean as much as it did four years ago, or even as much as it did two years ago.”

Copyright 2024 NPR

California will not become the first state to levy a wealth tax on its richest residents — at least not this election.

Voters rejected Proposition 40, a proposal to tax billionaires based on their net worth and financial holdings, by 52.8% to 47.2%, according to The Associated Press Monday. The measure had trailed behind for days before The Associated Press confirmed results.

Leaders for Service Employees International Union-United Healthcare Workers West, the union pushing the measure, seemed to concede the race minutes before the polls closed but vowed to try again in 2028 if California’s Legislature “fails to deliver a real solution” to fund healthcare hammered by recent federal law.

“That’s not a hypothetical. That’s our plan,” said Dave Regan, president of SEIU-UHW.

Election Day was projected to be an all-around defeat for the union, known for aggressively pursuing ballot measures. Voters defeated union-backed Proposition 44, an effort to control how clinics spend money. Proposition 42, a billionaire tax countermeasure prohibiting future wealth taxes, was leading Monday evening by 51.6% to 48.4%. That measure could get in the way of SEIU-UHW’s future plans to try taxing wealth again.

The billionaire tax would have generated $100 billion for healthcare and education through a one-time, 5% tax on billionaires, according to SEIU-UHW. Opponents of the measure celebrated its defeat.

“Proposition 40 was a reckless experiment conducted on our state’s economy with little regard for the harms it would cause,” according to a statement from Evan Westrop, a campaign strategist for No on Prop. 40.

The opposition campaign, which was backed by wealthy tech investors and healthcare organizations, argued the measure had already driven billionaires from the state and permanently harmed income tax revenue. On Monday they said the state still faces “enormous pressure” to find other ways to fund healthcare hit by federal cuts.

Billionaire tax divided Democrats

From the outset, Prop. 40 revealed divisions among the Democratic Party and galvanized some of Silicon Valley’s wealthiest executives to spend hundreds of millions to defeat it.

Gov. Gavin Newsom became one of its earliest opponents, attempting through backroom negotiations to keep it off of the ballot altogether. He endorsed the billionaire-backed counter measure, Prop. 42, designed to ban all wealth taxes in California and kill Prop. 40. Newsom, along with Democratic allies such as Planned Parenthood of California and California Teachers Association, argued a one-time tax would not solve the state’s fiscal woes and would drive wealthy residents out of state.

The California Democratic Party and California Federation of Labor Unions supported the initiative and opposed its counter measures, arguing the state needed more revenue to shield workers and everyday Californians from the effects of dramatic federal healthcare cuts expected to kick 2 million residents off of health insurance.

Lorena Gonzalez, former Assemblymember and president of the California Federation of Labor Unions, said Prop. 40’s failure puts even more pressure on state and federal lawmakers to backfill federal Medicaid cuts.

Supporters of Prop. 40 blamed its loss on billionaires vastly outspending the Yes campaign, which raised $33.5 million.

“That is incredibly corrosive and corrupting to our democracy and our political system, and that's been dominating the discussion here in California,” Regan said.

Billionaires poured hundreds of millions of dollars into the campaign to stop Prop. 40. Google co-founder Sergey Brin led the charge, publicly moving out of state and donating $102 million to Building a Better California, a political committee he founded to oppose the tax. The group has served as a passthrough for other billionaire donors to oppose Prop. 40, including by funding the counterpropositions 41 and 42. Collectively, ultra-wealthy opponents donated $378.4 million to oppose the billionaire tax.

In a statement, Abby Lunardini, a spokesperson for Building a Better California, said the billionaire tax threatened to limit revenue for all services in California, including healthcare, by driving economic interests out of the state.

“It was a lose-lose for California, and voters clearly agreed,” Lunardini said.

Ultimately, opponents’ efforts succeeded.

Polling just ahead of the election indicated falling support for Prop. 40 despite growing sentiment for taxing billionaires more in general. According to a UC Berkeley Citrin-POLITICO poll, 45% of voters believed in taxing billionaires more to fund public services compared to 35% who believed the state should prioritize keeping billionaires in state because of the tax revenue and jobs they generate — but just 46% favored Prop. 40.

Infighting among Democrats could have also contributed to Prop. 40’s demise, said John Matsusaka, an economist and direct democracy expert at USC, ahead of the election. Research shows money doesn’t buy people’s votes or values on core issues like abortion, Matsusaka said, but it can exploit uncertainty.

“People these days are very tribal. When your tribe is arguing, people start to listen to the counterarguments,” Matsusaka said.

This article was originally published on CalMatters and was republished under the Creative Commons Attribution-NonCommercial-NoDerivatives license.

This story first appeared on The LA Local.

After an hourslong, late-night standoff between Immigration and Customs Enforcement agents and community members outside Adventist Health White Memorial over the weekend, local leaders are demanding answers from hospital leadership. 

The hospital has previously faced scrutiny over claims that its administrators have allowed federal immigration agents to interfere in patient care. 

On Saturday, state Sen. María Elena Durazo marched with community members from Mariachi Plaza to the hospital to hand-deliver a letter to White Memorial President Daniel Fontoura. The letter, signed by elected officials and community leaders, calls for an end to any collaboration that may exist between the hospital and federal immigration agents. 

The night before, ICE agents clashed with protesters near the hospital and blocked the hospital’s ambulance entrance. According to White Memorial, ambulances were diverted for about two hours during the incident. Two U.S. citizens were also detained by federal agents. 

Federal immigration agents were at White Memorial Friday night because someone in their custody had been taken to the emergency room, according to hospital officials and the Los Angeles Police Department. 

“What happened last night was unacceptable,” Durazo told Fontoura in the parking lot of White Memorial, steps away from where ICE agents had been standing shoulder to shoulder just hours earlier. “It’s unacceptable that ICE would go into our healthcare facilities. But we also believe that White Memorial can and should do more.”

Fontoura told the group that the hospital has “no special relationship, no special contract” with ICE. “When they show up, they show up,” Fontoura said, referring to the federal agents. 

Fontoura said hospital staff took care of the person who was brought in by ICE and claimed they denied the agents’ request to “break protocol” and be in the same room as the patient and their physician. “We said no,” Fontoura said. 

Boyle Heights Beat asked White Memorial whether these privacy protections are standard practice and whether federal agents follow them while at the hospital. The hospital did not respond before publication. 

Last year, Adventist Health released a six-point statement outlining its policies to protect detained patients and support staff, but doctors and advocates at the time said it was not enough. 

Now Durazo and others are calling for more accountability and stricter guidelines from the hospital on how they respond to ICE activity. 

The letter requests a written response from hospital leadership by Nov. 21. It is signed by Durazo, Assemblymember Mark Gonzalez, Mayor-elect Nithya Raman, Councilmember Ysabel Jurado and other community leaders from Proyecto Pastoral, CHIRLA and more.

White Memorial has not responded to Boyle Heights Beat’s request for comment on the letter.

If the concerns remain unresolved, those who signed the letter say they will ask the California attorney general to review White Memorial’s compliance with state law.

“For ICE to show up the way they did, it takes a much higher level of consciousness and determination by the hospital to stop them from doing this,” Durazo told Boyle Heights Beat after the rally on Saturday. “We don’t have absolute power over ICE, we know that, but we do have some power over ICE.” 

Nithya Raman turned the tide in the L.A. mayoral race by winning over large swathes of the city that voted for Karen Bass in 2022, according to an LAist analysis of election data.

Bass was a favorite in many areas that voted for Rick Caruso when she faced him in 2022. She held onto a majority of voters across South L.A., but lost much of her previous support. She outperformed Raman in areas where Spencer Pratt, the third-place primary finisher, saw strong turnout in June.

The switchup came after Bass — a veteran in progressive politics — took a relatively-conservative approach on issues like policing and high-density housing developments compared to Raman, a member of the Democratic Socialists of America.