First, the good news:
-- A record-high 2.4 million vaccine doses are going into arms each day, according to the latest seven-day average of daily vaccinations.
-- About 11.5% of the US population is now fully vaccinated against Covid-19.
-- Millions more Americans are now eligible to get a vaccine this week as many states broaden their pools.
-- For the first time, teachers in all 50 states and Washington, DC, are now able to get vaccinated.
Now here's the problem: Some Americans are still reluctant to get vaccinated, even though that's the easiest ticket to herd immunity and a return to normal life.
About 70% to 85% of people must achieve immunity -- either by surviving Covid-19 or receiving a vaccine -- for the population to reach herd immunity. That's the point at which enough people are protected against a disease that it cannot spread through the population.
But while 92% of Democrats either have gotten vaccinated or want to get vaccinated, that number plummets to 50% among Republicans, a CNN poll conducted by SSRS shows.
"What we need to do is find a way to de-link anti-science (beliefs) from the Republican Party," said Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine.
For the US to quash this pandemic as quickly as possible, more Americans need to roll up their sleeves -- especially as more contagious variants and travel increase, health experts say.
"On the one hand, we are getting vaccines out at a record pace, but on the other hand, we have these variants," emergency physician Dr. Leana Wen said.
"We also know surges have occurred after spring break and after holidays before. So what happens now is really up to us."
Despite warnings, air travel reaches record highs
More people traveled by air in the past four days than any other four-day period in this pandemic, according to the Transportation Security Administration.
At least 5.2 million people have flown since Thursday, the TSA said Monday.
And health experts say spring break can be a perfect storm for spreading variants.
The B.1.1.7 strain is spreading rampantly in Florida, Hotez said, and research shows that strain is 59% to 74% more transmissible than the original novel coronavirus.
Yet revelers have packed Florida hot spots, and they could unknowingly bring back the virus to their home states.
Miami Beach Mayor Dan Gelber said "too much spring break activity" happened over the weekend.
"We've got a problem with too many people coming here," the mayor said. "We've got a problem with too many people coming here to let loose."
Miami Beach Police Chief Richard Clements told CNN on Monday spring breakers tend to "congregate closer to one another." Once that happens, social distancing goes out the window, Clements said. This, in turn, exposes officers to Covid-19.
"We passed out almost 7,000 masks this weekend alone trying to get people to recognize the threat of the virus and the potential spread of the virus if they don't take those precautions," Clements said. "We obviously don't want to see anymore in our ranks contract the virus."
And just because spring breakers are outside on a beach doesn't meant they'll be safe.
"They're not going to be (outdoors) all day and all night," Hotez said. "They're going to be in bars and everything else."
Health experts are begging all Americans to wear masks and avoid mistakes from the past that led to devastating surges.
"We have seen footage of people enjoying spring break festivities, maskless. This is all in the context of still 50,000 cases per day," said Dr. Rochelle Walensky, director of the US Centers for Disease Control and Prevention.
"I'm pleading with you for, the sake of our nation's health. These should be warning signs for all of us. Cases climbed last spring, they climbed again in the summer, they will climb now if we stop taking precautions when we get more and more people vaccinated."
With masks on, is 3 feet of distance enough?
The CDC is reviewing new data to see whether physical distancing guidance for schools should be changed from a minimum of 6 feet to a minimum of 3 feet, Walensky said Monday.
"Schools were having a hard time with the 6-foot guidance, and that of course prompted more studies to say, 'Is 6 feet necessary in the context of mask wearing?'" she said.
A study published last week showed "no significant difference" in rates of Covid-19 at Massachusetts public schools that had implemented social distancing rules of more than 3 feet apart compared to those with 6-foot rules.
"Lower physical distancing policies can be adopted in school settings with masking mandates without negatively impacting student or staff safety," the authors concluded.
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said, "The CDC is very well aware that data are accumulating making it look more like 3 feet are OK, under certain circumstances."
"I can assure you within a reasonable period of time -- quite reasonable -- they will be giving guidelines according to the data that they have," Fauci told CNN on Sunday. "It won't be very long."
If schools are advised that 3 feet of distance between students (with masks) is sufficient, that could be a game changer, as many schools have not been able to bring more students back to classrooms due to insufficient space.
States are expanding who can get vaccines
As vaccine supply and distribution networks expand, states are letting more groups get vaccinated:
Starting Tuesday, "ALL new appointments will be open to ALL Mississippians," Gov. Tate Reeves tweeted. "Get your shot friends - and let's get back to normal!"
(Not literally everyone can get a vaccine. The Pfizer/BioNTech vaccine is authorized for people 16 and older, and the Moderna and Johnson & Johnson vaccines are authorized for people 18 and older.)
In Alaska, people living or working in the state age 16 or older can get the vaccine. In Georgia, residents 55 and older and people with disabilities and certain medical conditions are now eligible for a vaccine.
Kentuckians 16 and older with any medical or behavioral health condition who the CDC says could be at increased risk of severe Covid-19 illness are now eligible for the vaccine. Health officials said smoking will not be in the covered conditions in the state.
Rhode Island recently expanded vaccinations to those ages 60 to 64, as well as people 16 to 64 with certain underlying health conditions.
In California, those with certain high-risk medical conditions or disabilities are now eligible for a vaccine.
But "the national supply of the vaccine remains limited," state health officials said, "so appointments for the estimated 4.4 million Californians with these conditions or disabilities will not immediately be available to all who are eligible."
How to beat variants before they get out of control
In the race between vaccines and variants, "the best way that we can avoid any threat from variants is do two things," Fauci said.
"Get as many people vaccinated as quickly as we possibly can, and to continue with the public health measures until we get this broad umbrella of protection over society that the level of infection is very low."
That means the US shouldn't be easing restrictions before daily Covid-19 case numbers fall below 10,000 and "maybe even considerably less than that," Fauci said.
The US is not even close to that goal. Over the past week, an average of more than 53,000 new Covid-19 infections were reported each day. And an average of more than 1,350 deaths were reported every day over the past week.
One voice could help quash vaccine hesitancy
Of all the current challenges in this pandemic, one could be greatly alleviated if a former President spoke up, health experts say.
Forty-seven percent of people who supported President Donald Trump in the 2020 election said they would not get a Covid-19 vaccine if it became available to them, a recent poll by NPR/PBS NewsHour/Marist found. (Only about 10% of people who supported President Joe Biden said they wouldn't get a vaccine.)
Fauci said on "Fox News Sunday" that if Trump told Republican supporters to get vaccinated, it "would make all the difference in the world."
"He's a very widely popular person among Republicans. If he came out and said, 'Go and get vaccinated, it's really important for your health, the health of your family and the health of the country,' it seems absolutely inevitable that the vast majority of people who are his close followers would listen to him," Fauci said.
Former presidents from both parties publicly received their Covid-19 vaccines to show Americans that they're safe. Trump did not and got his vaccine quietly instead.
And there's even more good reason to get vaccinated. Growing evidence suggests coronavirus vaccines don't just prevent people from getting sick, they can also prevent you from getting infected and passing the virus to others.
"All of the evidence across all the vaccines now is pointing in the direction that these vaccines reduce asymptomatic infection and reduce transmission," Dr. Scott Gottlieb, a former Food and Drug Administration commissioner and current Pfizer board member, told CBS on Sunday.
"If that's the case, the vaccine creates what we call 'dead-end hosts' -- a lot of dead-end hosts -- meaning people will no longer be able to transmit the infection."
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Millions more Americans can now get Covid-19 vaccines, including teachers in all 50 states - CNN
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