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The manager of the Trump administration’s new virus database refuses Senate questioning, citing a nondisclosure agreement.

The private health care technology vendor that is helping to manage the Trump administration’s new coronavirus database has refused to answer questions from top Senate Democrats about its $10.2 million contract, saying it signed a nondisclosure agreement with the federal Department of Health and Human Services.

In a letter obtained by The New York Times, dated Aug. 3, a lawyer for the Pittsburgh-based TeleTracking Technologies cited the nondisclosure agreement in refusing to provide information about its process for collecting and sharing data; its proposal to the government; communications with White House staff or other officials; and any other information related to the award.

A spokeswoman for Department of Health and Human Services said members of Congress should direct their inquiries to the government, not the company. But Senator Patty Murray of Washington, the top Democrat on the Senate Health Committee, sent a letter to the agency in June seeking similar information and has not received a reply, her office said.

The arrangement was unusual, Jessica Tillipman, an assistant dean at George Washington University Law School who teaches about government contracts and anti-corruption, said in an interview.

“One of the cornerstones of the federal procurement system is transparency, so it strikes me as odd,” she said.

TeleTracking was responding to a July 22 letter from two top Democrats: Senator Chuck Schumer of New York, the minority leader, and Ms. Murray. The two recently introduced legislation aimed at protecting data transparency — an issue Mr. Schumer addressed during recent talks with Mark Meadows, the White House chief of staff, and Treasury Secretary Steven Mnuchin, according to a person familiar with their discussion.

“The Trump administration’s decision to hire a private vendor and then cloak that vendor in a nondisclosure agreement raises numerous questions about their motivations and risks the ability of our public health experts to understand and effectively fight this virus,” Mr. Schumer said in a statement Friday.

The controversy over the contract stems from the administration’s abrupt order in July for hospitals to stop reporting coronavirus information to the C.D.C.’s National Healthcare Safety Network — a longstanding government data system — and instead send it to TeleTracking for inclusion in a coronavirus database overseen by H.H.S. officials in Washington. H.H.S. has said the switch was necessary because the C.D.C.’s system was slow and incomplete; the government uses the hospital data to make critical decisions about how to allocate scarce supplies, like ventilators and the drug Remdesivir.

The contract — and in particular the sudden switch in reporting from C.D.C. to TeleTracking — generated objections from public health experts and outside advisers to the health agency, who say that the new system is burdening hospitals and endangering scientific integrity by sidelining government experts.

Clinical trials for some of the most promising experimental drugs are taking longer than expected, even as the pandemic continues to wreak havoc in the United States and treatments are needed more than ever.

South Korea reported 166 new coronavirus cases on Saturday as health officials struggled to contain local transmissions, which have mainly centered around two church congregations. The daily caseload was the highest since March 11, indicating that the country’s outbreak was gaining momentum once again.

The Korea Centers for Disease Control and Prevention said that all but 11 of the 166 new patients reported on Saturday were infected through local transmissions.

Health officials this week shut down two churches in the Seoul metropolitan area where a total of 91 worshipers had tested positive for the virus as of midnight Friday, contributing to a sharp increase in the national tally.

South Korea reported 103 new cases on Friday, the first three-digit daily rise in three weeks. Officials were testing thousands of worshipers from the two churches, as well as their contacts, in an effort to isolate the infected and cut transmission chains.

Additionally, Seoul, the capital, which is home to 10 million people, and the equally populous Gyeonggi Province surrounding it have ordered all churches to refrain from large gatherings and to require masks and other disease-prevention measures during prayer services.

South Korea was among the countries hit early by the epidemic. But it has relaxed its social-distancing rules in recent months as the country managed to sharply reduce the number of new daily cases. The government has urged people to adopt a “new daily life with Covid-19,” a term for reclaiming old daily routines but with preventive measures, such as mask-wearing and social distancing in schools and sports stadiums.

Later on Saturday, Prime Minister Chyung Sye-kyun ordered social-distancing rules to be tightened to Level 2 in Seoul and Gyeonggi Province. Under the new rules, sports events must be held without spectators, and large indoor and outdoor gatherings are banned. District authorities are also empowered to shut down public facilities deemed vulnerable to spreading the disease.

A study by researchers in South Korea last month suggested that children ages 10 to 19 spread the coronavirus more frequently than adults — a widely reported finding that influenced the debate about reopening schools.

But additional data from the research team now calls that conclusion into question; it’s not clear who was infecting whom. Some of the household members who appeared in the initial report to have been infected by older children in fact were exposed to the virus at the same time as the children.

The incident — just the latest example of science about the virus unfolding in front of our eyes — underscores the need to consider the preponderance of evidence, rather than any single study, when making decisions about children’s health or education, scientists said.

The disclosure does not negate the overall message of that study: Children under 10 do not spread the virus as much as adults do, and the ability to transmit seems to increase with age.

“It’s indisputable that the highest risk of becoming infected and being detected as being infected is in older age groups,” said Bill Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health. “I think you have to be really careful before you decide to open high schools.”

The earlier study was not intended to demonstrate transmission from children to adults, only to describe contact-tracing efforts in South Korea, said Dr. Young June Choe, assistant professor of social and preventive medicine at Hallym University College of Medicine and an author of both studies.

A group of Democratic senators said Friday that they were worried about the military’s ability to handle a coronavirus outbreak at the wartime prison at Guantánamo Bay, Cuba, after the Pentagon told Congress that it could maintain just four of the 40 detainees on ventilators and offered no details of how it might care for the 1,500 troops there.

“The Pentagon’s response leaves doubts about the Guantánamo prison’s capacity to protect military personnel and detainees from Covid-19,” the 11 senators, led by Elizabeth Warren of Massachusetts and Jack Reed of Rhode Island, the ranking member of the Senate Armed Services Committee, said in a statement.

France on Friday declared Paris and the Marseille region in its southeast to be high-risk zones, granting the local authorities powers to restrict the movements of people and vehicles, limit access to public transportation and public buildings and close restaurants and bars.

France’s seven-day average is now above 2,000 cases, according to a Times database, a level the country reached in late March during a sharp rise in its outbreak.

Britain added France to its list of countries that visitors arriving from must quarantine for two weeks. Britain also added the Netherlands, where cases have doubled every two weeks since early July, along with Aruba, Malta, Monaco and Turks and Caicos.

Authorities in Britain unveiled the expanded list with little more than a day’s notice, prompting an instant scramble from vacationers to return there before the quarantine is imposed at 4 a.m. on Saturday.

France’s rising caseload reflected not only an increase in the number of tests, which stand at more than 600,000 per week, but also a higher infection rate, especially among young people, the health authorities said. The country’s total caseload has risen to 209,365, with 30,388 deaths, according to the Times database.

In other news from around the world:

  • North Korea lifted a lockdown it had imposed last month on the city of Kaesong, near its border with South Korea, on government suspicions that a runaway from South Korea had brought the virus with him. The North said the reversal was “based on the scientific verification and guarantee by a professional anti-epidemic organization” but without saying whether the nation has a coronavirus outbreak. Its leader, Kim Jong-un, has said it is facing “twin perils” — the virus and flooding from an unusually long monsoon season.

  • Spain ordered bars and clubs to close by 1 a.m. and banned drinking on the street on Friday, according to Reuters. Virus cases have risen steadily since July when the country emerged from a strict lockdown that only allowed residents to leave their home to walk their dog or grocery shop. Spain reported more than 5,400 new cases on Friday, according to a New York Times database.

  • President Rodrigo Duterte of the Philippines has delayed opening schools until Oct. 5, his chief aide said. The Philippines has the highest number of infections in Southeast Asia, with 153,660 confirmed cases and 2,442 deaths, according to the Times database.

  • Health officials in Toronto said that about 550 people may have been exposed to the coronavirus at a strip club bar after an employee tested positive for the virus. The occupation of the infected employee was not disclosed.

  • Vietnam’s health ministry announced that it had registered to buy Russia’s coronavirus vaccine, despite experts’ concerns that the Kremlin is distributing it before the last phase of human trials have even begun. The ministry said it had also registered to buy a vaccine from the United Kingdom. It cautioned that using the vaccines would depend on the progress of clinical trials and compliance with Vietnam’s “strict regulations.

U.S. Roundup

Obesity alone, apart from accompanying health problems, adds to Covid-19 risks for men.

Various factors are known to increase the risk of severe Covid-19, including older age and chronic health conditions like high blood pressure and heart disease. The Centers for Disease Control and Prevention also lists extreme obesity as a high risk.

But is the excess weight to blame? Or is it the health problems that accompany obesity, like metabolic disorders and breathing problems?

A new study points to obesity itself as a culprit. An analysis of thousands of patients treated in Southern California identified extreme obesity as an independent risk factor for dying among Covid-19 patients — most strikingly among adults 60 and younger, and particularly among men.

Among female Covid-19 patients, body mass index — a measure of body fat based on height and weight — does not appear to be independently associated with an increased risk of dying at any age, the authors said, possibly because women carry weight differently than do men, who tend to have more visceral and abdominal fat. The study was published in Annals of Internal Medicine.

“Body mass index is a really important, strong independent risk factor for death among those who are diagnosed with Covid-19,” said Sara Tartof, the study’s first author, a research scientist at Kaiser Permanente of Southern California.

In other news from around the United States:

  • Georgia Gov. Brian Kemp is expected to sign an executive order on Saturday allowing local governments to issue mask ordinances, according to The Associated Press, which cited the Atlanta Journal-Constitution. The governor has staunchly opposed issuing a statewide mask ordinance — even suing Mayor Keisha Lance Bottoms for signing a mask order in Atlanta. Mr. Kemp’s executive order is expected to give businesses the option of enforcing local mandates and comes after a “strong recommendation” from the White House coronavirus task force. Officials announced 3,319 new cases in Georgia today, according to a New York Times database.

  • An Arizona school district that had planned to restart in-person classes next week in defiance of the state’s health benchmarks abruptly reversed course on Friday after staff members staged a “sick out” in protest. The state’s Republican governor, Doug Ducey, has recommended that in-person classes not resume until counties have met a number of targets, including going two weeks with Covid-19 positivity tests below 7 percent. The J.O. Combs Unified School District in greater Phoenix had planned to ignore the advice, but said on Friday evening that all instruction on Monday would be canceled because of “insufficient staffing.”

  • The five metropolitan areas that have the highest rate of new coronavirus cases relative to their population are all in South Texas, according to data compiled by The Times.

  • The Department of Homeland Security announced an extension of the U.S. agreement with Canada and Mexico to limit nonessential travel through Sept. 21. It was the fifth extension since the measure was put in place in March.

  • A federal judge dismissed a lawsuit by an Arizona woman who claimed New York’s 14-day quarantine requirement for travelers from hot spot coronavirus states infringed on her “fundamental right to travel.” This was the second challenge to Gov. Andrew Cuomo’s quarantine order to be thrown out by a federal judge, The Associated Press reported.

  • Gov. Gretchen Whitmer of Michigan said that the state would give four million free face masks to homeless shelters, tribal organizations, community health centers, schools and grocery stores. The effort, which targets people particularly vulnerable to the virus, includes one million masks provided by the Federal Emergency Management Agency and 1.5 million masks donated by Ford Motor.

  • At least 22 workers at a remote mining camp in Alaska have been infected with the virus, forcing a temporary stoppage to underground work. The Kensington Mine, about 45 miles north of Juneau, has about 200 to 250 workers on site at a time, said a spokeswoman for its owner, Coeur Alaska. The state has embraced a broad reopening but implemented protocols to keep infections in check, and though Alaska has had a spike in reported infections this summer, its numbers remain low compared with other states’.

A growing number of people, stuck at home and tired of staring at their own haggard faces on Zoom, are finding a fix: face and eye lifts, chin and tummy tucks and more.

At a time when many medical fields are reeling from lockdowns because lucrative elective work was postponed, cosmetic surgery procedures are surging, practitioners say, driven by unexpected demand from patients who have found the coronavirus pandemic a perfect moment for corporeal upgrades.

“I have never done so many face-lifts in a summer as I’ve done this year,” said Dr. Diane Alexander, a plastic surgeon in Atlanta. She said she had performed 251 procedures through the end of July from May 18, when her clinic reopened for elective surgery. “Pretty much every face-lift patient that comes in says, ‘I’ve been doing these Zoom calls and I don’t know what happened but I look terrible.’”

“This is the weirdest world I live in,” Dr. Alexander added. “The world is shut down, we’re all worried about global crisis, the economy is completely crashing, and people come in and still want to feel good about themselves.”

One of her patients, a 55-year-old woman named Joanne who asked that her last name not be used because she feared seeming vain, said she considered getting work done on her face for years. But the pandemic finally made it possible because she could conceal the bruising and swelling during her recovery period.

“Not one friend knows I’ve done it,” she said. “Family members don’t know, and my sister and mom don’t even know.”

Whatever one calls them — learning pods, pandemic pods or microschools — small groups that hire teachers to supplement or even replace the virtual instruction offered by public schools have become an obsession among many parents of means.

A virtual cottage industry of companies and consultants has emerged to help families organize these small-group, in-home instruction pods and pair them with instructors, many of whom are marketing themselves on Facebook pages and neighborhood email lists.

But the cost — often from $30 an hour per child to $100 or more — has put them out of reach for most families, generating concerns that the trend could make public education even more segregated and unequal.

In Washington, D.C., one parent started a GoFundMe page to raise money to subsidize learning pods for low-income students in the district.

Education experts say fund-raising efforts and “pod scholarships,” however well meaning, are no solution for millions of low-income parents juggling the educational, child care and economic challenges of the pandemic.

More useful, they say, would be if school districts or city governments created their own version of learning pods, especially for at-risk students or children of essential workers.

In other education news:

  • Barnard College and Columbia University said that all undergraduate classes would be held remotely for the fall semester and that student housing would be mostly closed. The announcement came days before students were to move into dormitories.

  • The president of Villanova University in Pennsylvania has warned students that they will be sent home if they are caught disregarding the school’s coronavirus protocols, which include wearing a mask “at all times” and social distancing. Videos that appear to show a gathering of dozens of new Villanova students recently drew backlash on social media.

How do people learn to be more resilient?

If you feel as if you can barely cope, while others are doing just fine, remember that the very earliest days of our lives, and our closest relationships, can offer clues about how we deal with adversity.

Reporting was contributed by Sarah Bahr, Mike Baker, Luke Broadwater, Damien Cave, Choe Sang-Hun, Emily Cochrane, Michael Corkery, James Dobbins, Thomas Erdbrink, Manny Fernandez, Hailey Fuchs, Abby Goodnough, Jason Gutierrez, Rebecca Halleck, Sapna Maheshwari, Apoorva Mandavilli, Constant Méheut, Claire Moses, Colin Moynihan, Richard C. Paddock, Alan Rappeport, Matt Richtel, Rick Rojas, Carol Rosenberg, Anna Schaverien, Jeanna Smialek, Mitch Smith, Paula Span, Eileen Sullivan, Sheryl Gay Stolberg, Katie Thomas, Glenn Thrush, Billy Witz and Katherine J. Wu.

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