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The U.S. announced a $230 million deal with a coronavirus test-maker Ellume to provide Americans with millions of at-home tests.

USA TODAY

Public health officials across the nation are bracing for a possible surge in coronavirus cases if Americans fail to take heed of warnings not to gather for Super Bowl parties Sunday.

The game itself will be played before 22,000 masked fans, many of them vaccinated health care workers, at the Tampa Bay Buccaneers’ stadium. Experts with the Centers for Disease Control and Prevention have been among many health officials warning Americans to gather with friends over Zoom, not over bowls of guacamole in their living rooms, lest the parties become superspreader events across the nation.

“I’m worried about Super Bowl Sunday, quite honestly. People gather, they watch games together. We’ve seen outbreaks already from football parties,” said Dr. Rochelle Walensky, head of the Centers for Disease Control and Prevention. “So I really do think that we need to watch this and be careful.”

Follow Super Bowl action here: Super Bowl 2021 live updates: Score, analysis for Kansas City Chiefs vs. Tampa Bay Buccaneers

State leaders were also on alert.

“Watching the Big Game today?” tweeted New York Gov. Andrew Cuomo. “Celebrate smart and be safe. We are seeing our positivity & hospitalizations decline thanks to the dedication of all NYers. We can’t undo that progress.”

COVID-19 has killed more than 463,000 Americans, and infections have continued to mount despite the introduction of a pair of vaccines late in 2020. USA TODAY is tracking the news. Keep refreshing this page for the latest updates. Sign up for our Coronavirus Watch newsletter for updates to your inbox, join our Facebook group or scroll through our in-depth answers to reader questions.

In the headlines:

►Researchers in Britain say a new study of 2,000 people indicates the AstraZeneca/Oxford vaccine provides minimal protection against mild or moderate disease from the South Africa variant of the coronavirus. The study, which did not assess the vaccine’s effectiveness in preventing severe disease, raises serious concerns about the efforts to stem the pandemic mostly through inoculations. South African officials said they would postpone the country’s rollout of the AstraZeneca vaccine while they study the findings.

►Two days after a U.S. Supreme Court ruling lifted a ban on indoor services during the coronavirus pandemic, some California churches opened their doors to worshipers  Sunday. According to the ruling, the state can limit attendance to 25% of a building’s capacity and restrict singing and chanting inside to curb virus transmission.

►Inmates at a St. Louis jail set fires, broke out windows and threw things from fourth-floor windows Saturday in the latest disturbance over coronavirus concerns and restrictions that have limited visits and stalled court proceedings, officials said.

►New coronavirus cases are on the decline in the United States following staggering post-holiday peaks last month, but experts say it’s too early for new COVID-19 vaccines to be having an impact. 

📈 Today’s numbers: The U.S. has more than 26.9 million confirmed coronavirus cases and more than 463,300 deaths, according to Johns Hopkins University data. The global totals: More than 106 million cases and 2.3 million deaths. More than 59.3 million vaccine doses have been distributed in the U.S. and about 39 million have been administered, according to the CDC.

📘 What we’re reading: Frank Martinez and his wife, Masako, were “inseparable” until they both contracted COVID-19. They were being treated in separate hospital rooms, but two nurses brought them together for a date night. 

Chicago has tentative deal for reopening schools

The nation’s third-largest school district appears closer to reopening classrooms.

Chicago Mayor Lori Lightfoot said Sunday that “our children will be returning to in-person learning this week” after a tentative agreement was worked out with the teachers’ union over COVID-19 safety protocols, potentially averting a strike.

Under the possible deal, which still requires approval by the Chicago Teachers Union, pre-K and special education programs would return Thursday and other groups would be staggered. Kindergarten through fifth grade students would go back to school March 1 and middle schoolers a week later. No return date has been set for high schoolers.

The union and district have been arguing for months over a plan to gradually reopen the roughly 340,000-student district, and talks broke down in recent days. The major issues included widespread vaccinations for teachers, metrics to gauge school infections and accommodations for teachers who have a person in their household who’s more susceptible to the coronavirus.

San Francisco teachers say they have agreement to return to classrooms

The unions that represent San Francisco school district workers said Sunday that they have tentatively agreed to a deal that would allow public schools to reopen, the San Francisco Chronicle reported.

The agreement calls for the district teachers and support staff to return to schools if they’re vaccinated against the coronavirus and the city drops from its current standing in the state’s most restrictive reopening tier to the level below. The workers would also be willing to return even if not vaccinated once San Francisco moved down another spot to the third least-restrictive tier. No target date for reopening has been picked.

The increasing pressure on public school teachers in San Francisco to return to the classrooms was ratcheted up Wednesday when the city attorney sued the 52,000-student district and the school board, claiming they had not produced a plan mandated by the state to reopen schools.  

Dr. Anthony Fauci: Not enough time to study impact of delaying second dose

The nation’s top infectious disease expert said Sunday that it would not be prudent to delay second doses of COVID vaccines because it would take too long to study the impact.

From “a theoretical standpoint” it would be good to know the durability of one dose, he said. But the Pfizer and Moderna vaccines have been thoroughly tested for a second dose in three weeks and four weeks, respectively, he said.

“The amount of time that it will take, the amount of people you would have to put into the study – by that time, we will already be in the arena of having enough vaccines to go around anyway,” Fauci said on NBC News’ Meet the Press. “What we have right now, and what we must go with, is the scientific data that we’ve accumulated, and it’s really very solid.” 

‘COVID tongue?’ Yes, it’s real, but thankfully rare 

Fatigue, fever and losing the sense of taste or smell are commonly known symptoms of COVID-19. A British researcher has documented other maladies linked to the coronavirus, and they’re not pleasant.

Tim Spector, a professor of genetic epidemiology at King’s College London, says one in five people with COVID are presenting with less common symptoms such as skin rashes not on lists published by the Centers for Disease Control and Prevention and other public health entities. Less frequent but also noticeable are instances of swollen or discolored tongue and strange mouth ulcers.

Spector said data from a symptom-reporting app in Britain shows that what he calls “COVID tongue” appears on less than 1% of the patients.

Pressure rises to reopen schools, but many teachers unconvinced

Parents across the nation, many of whom relied on schools to care for their children while they worked, are frustrated and angry that remote instruction has gone on so long. Lawmakers are increasingly joining their calls to get kids into classrooms, citing the loss of worker productivity and parents’ concerns about the emotional and academic effects on children.

President Joe Biden has pledged to open most schools within his first 100 days in office – if Congress provides funding and if states and cities adopt safety steps. But many teachers remain unconvinced it is safe.Read more here.

Terminally ill choosing to die at home

More terminally ill patients – both with COVID-19 and other diseases – are opting to die at home rather than face the terrifying scenario of saying farewell to loved ones behind glass or during video calls. National hospice organizations are reporting that facilities are seeing double-digit percentage increases in the number of patients being cared for at home.

“What we are seeing with COVID is certainly patients want to stay at home,” said Judi Lund Person, the vice president for regulatory compliance at the National Hospice and Palliative Care Organization. “They don’t want to go to the hospital. They don’t want to go to a nursing home.”

Census timing could save New York a House seat despite 44K COVID deaths

COVID deaths won’t be reflected in the 2020 census, a step that will have an impact on where congressional seats get apportioned, experts say. The important reference date for answering census questions was April 1, soon after most U.S. deaths began. New York state, which has had about 44,000 deaths, is expected to lose a House seat because of population shifts, but it could have lost two if the census date were later, said Kimball Brace, a redistricting expert at Election Data Services. The Census Bureau releases apportionment numbers by April 30.

Iowa governor lifting mask requirements effective Sunday

Iowa Gov. Kim Reynolds lifted the state’s limited mask requirement on Sunday, along with the social distance and other limitations she had in place for businesses and social gatherings.

Her latest coronavirus emergency proclamation, issued Friday afternoon and effective 12:01 a.m. Sunday, instead “strongly encourages Iowans, businesses and organizations to take reasonable public health measures consistent with guidance from the Iowa Department of Public Health,” Reynolds’ spokesperson Pat Garrett said.  

Since mid-November, the Republican governor has required Iowans 2 years of age and older to wear masks if they were in indoor areas and spent 15 minutes or more within 6 feet of a person not in their households. The rule carried several exceptions. Her previous proclamation also required social distancing between groups at bars, restaurants, casinos, fitness centers and other establishments, as well as at social gatherings and sporting events. 

– Ian Richardson, Des Moines Register

California adds mass vaccination sites despite short supply

California is adding mass inoculation sites even as the shortage of coronavirus vaccine has local officials restricting who gets shots, with Los Angeles County saying it will limit new vaccinations to ensure second doses are available to those already in line for them.

Santa Clara County and the San Francisco 49ers said Friday they will open California’s largest vaccination site at Levi’s Stadium early next week. It eventually will be capable of injecting up to 15,000 people a day.

The Pentagon, meanwhile, announced troops will start arriving in a little over a week to run a new site at California State University, Los Angeles, opening Feb. 16. Other federal employees will head to a second site at the Oakland-Alameda Coliseum, where up to 6,000 shots a day will be administered.

Contributing: The Associated Press

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