New York -- Vaccine mandates expanded Monday as New York state ordered hospital and nursing home workers to get COVID-19 inoculations and New York City was poised to start requiring them for anyone in restaurant dining rooms, gyms, museums and many other leisure venues.
The new policies aim to goad people into getting vaccinated as New York, like the rest of the U.S., confronts a coronavirus wave powered by the highly infectious delta variant of the virus.
As the variant posed a growing threat and vaccination rates leveled off this summer, some cities, states and federal agencies have rapidly shifted from encouraging vaccination to either-or requirements — inoculation or testing — to a flat-out insistence on vaccination for some settings or workforces.
“Just buy into this because it’s going to work for all of us, is going to make us all safer,” New York City Mayor Bill de Blasio said Monday.
In a nationwide first for a city government, the Democrat announced earlier this month that proof of vaccination would be required to partake in much of public life, from indoor dining to gym workouts to theater. Other cities, including San Francisco, later followed New York's move.
It applies to patrons, employees, New Yorkers, commuters and visitors alike in settings ranging from arenas to coffee shops to yoga studios. Even strip clubs are included.
There are exceptions for children under 12 — who are not yet eligible for vaccination — and athletes, contractors and some performers who don't live in the city. The policy also excludes church potlucks, community centers, office buildings, house parties (even if they're catered) and people ducking in somewhere to pick up food or use the bathroom, among other exemptions.
It goes into effect Tuesday, but enforcement won’t begin until Sept. 13, to give the public more time to get vaccinated. City officials promised training for businesses on how to handle possible confrontations between patrons and staffers, who will be on the frontlines of checking vaccination status.
The Metropolitan Museum of Art, one of the city’s most visited venues, said it was working on how to implement the new rule but was happy to comply.
“We wholly support all efforts to increase vaccination rates," spokesperson Ken Weine said.
New York state's new policy for hospitals and long-term care facilities follows vaccination requirements for health care workers in California, members of the U.S. military, and patient care staffers in the federal Health and Human Services Department and Department of Veterans Affairs. Some private businesses, from Google to United Airlines, also have ordered employees to get the shot.
“Our healthcare heroes led the battle against the virus, and now we need them to lead the battle between the variant and the vaccine,” said Cuomo, a Democrat who is leaving office later this month after resigning over sexual harassment allegations, which he denies.
The seven-day rolling average of daily new cases in New York has risen over the past two weeks from over 2,400 new cases per day to nearly 4,200, according to figures compiled by Johns Hopkins University. New York City averaged 2,000 new cases of coronavirus per day over the past seven days, up from around 200 per day in late June.
New York state took a more limited step late last month, requiring vaccination for staffers who work directly with patients at state-owned hospitals and veterans homes. Asked whether the new policy applies only to front-line workers, and whether it would also extend to such settings as medical offices and home health care, state Health Department spokesperson Jill Montag said the agency was working to finalize the details.
About 75% of the roughly 450,000 hospital workers statewide, 68% of the 145,500 nursing home workers and 74% of the 30,000 other adult care facility workers are fully vaccinated, Cuomo’s office said in a release. That compares to about 58% of all New Yorkers, and 70% of those 18 and older.
The Greater New York Hospital Association, a statewide advocacy group, called workers' vaccination rates “impressive,” while endorsing the new requirement.
“This is a critical moment requiring bold action,” President Kenneth Raske said, noting that many hospitals already had their own vaccine mandates.
There was no immediate comment from SEIU 1199, a major health care workers' union, or the New York State Nurses Association, which represents 42,000 nurses.
Under the new policy, workers in hospitals, nursing homes, adult care, and other congregate care settings will have to get at least a first dose of vaccine by Sept. 27, with what the state called “limited exceptions for those with religious or medical reasons.”
While officials are urging some people to get vaccinated, the Health Department on Monday authorized additional doses for people with severely weakened immune systems.
The federal government on Friday approved third doses of the usually two-shot Pfizer or Moderna vaccines for transplant recipients and other similarly immune-compromised patients, but not the general public.
New York had its own task force of scientists and health experts review the matter before giving the OK in the state.
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