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After a Skirmish Over U.K. Vaccine Approval, Fauci Offers an Olive Branch

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British and American officials sparred Thursday over how Britain had beaten the United States to authorizing a coronavirus vaccine, a debate touching upon both regulatory standards and politics that has heated up as wealthy countries vie to receive the first shipments of vaccines.

Gavin Williamson, Britain’s education secretary, appeared to be crowing when he said that Britain had won the race to authorize the first fully tested coronavirus vaccine because its regulators were superior.

“We’ve obviously got the best medical regulators,” Mr. Williamson said. “Much better than the French have. Much better than the Belgians have. Much better than the Americans have.”

Then he extended his praise to cover not just bureaucrats but his entire country.

“That doesn’t surprise me at all,” Mr. Williamson said of Britain’s supposedly superior regulatory prowess, “because we’re a much better country than every single one of them, aren’t we?”

Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, seemed more than a little skeptical.

The British authorities, he said, moved more quickly only because they had not scrutinized the vaccine test data as carefully as their American counterparts in the Food and Drug Administration.

“We have the gold standard of a regulatory approach with the F.D.A.,” Dr. Fauci said. “The U.K. did not do it as carefully and they got a couple of days ahead.”

Later, a chagrined-looking Dr. Fauci, who is ordinarily averse to public conflict, appeared on British television saying he wanted to apologize. He told the BBC no one was passing “judgment on the way the U.K. did it.”

“We do things a bit more differently, that’s all — not better, not worse, just differently,” Dr. Fauci added.

Dr. Fauci said the politicization of the pandemic in his own country had led regulators to move a little more cautiously than the British, to avoid losing public support. “In the United States, there is such a considerable amount of tension, of pushing back on the credibility of the safety and of the efficacy,” he said.

Dr. Fauci is one of the world’s most famous faces when it comes to the pandemic, and on Thursday Americans learned that was not likely to change any time soon. President-elect Joseph R. Biden Jr. announced that Dr. Fauci would be playing a central role in the new administration.

One British official, like Dr. Fauci, also appeared to offer conciliatory words.

“Vaccine nationalism has no place in Covid or other public health matters of global significance,” said Jeremy Farrar, the director of the Wellcome Trust and a scientific adviser to the British government. “Science has always been the exit strategy from this horrendous pandemic — that science has been global.”

Gov. Gavin Newsom of California announced on Thursday that stay-at-home orders would automatically go into effect in regions where intensive care units are close to filling up. Residents will be asked to stay home except for essential tasks. The most aggressive move the state has made since March.CreditCredit…Pool photo by Daniel Kim

California announced its most aggressive steps since March to head off the coronavirus, saying it will impose sweeping stay-at-home orders region by region when hospitals become overburdened.

With cases and hospitalizations rising sharply in the state, Gov. Gavin Newsom portrayed the move as a push to get through a difficult winter before vaccines arrive.

“This is the final surge,” the governor said in a news conference. “This is the most challenging moment since the beginning of this pandemic.”

The new orders will take effect when the intensive care units in a region’s hospitals fill to more than 85 percent of capacity. None of the state’s five regions have reached that threshold yet, but some are expected to this week, officials said.

Residents would be required to stay home except for essential tasks and outdoor exercise. Most businesses would have to shut down, including in-person dining, salons and sports events. Hotels in affected areas would be allowed to operate only “in support of critical infrastructure services.”

Schools that have been allowed to reopen can continue to operate, and religious services could be held outdoors under the order. The state’s restrictions on religious services may not survive in the federal courts, after the Supreme Court on Thursday ordered a federal judge who had upheld them to reconsider the matter.

In a change from the strict stay-at-home orders the state imposed in the spring, Mr. Newsom said parks and beaches would remain open, and he encouraged residents to go outside and use them, and even to take outdoor fitness classes.

Some cities and counties in the state have already imposed new restrictions as cases have exploded. Los Angeles County issued a similar stay-at-home order last week. Though some municipalities within the county balked, like Pasadena and Beverly Hills, the City of Los Angeles followed up with its own strict stay-at-home order earlier on Thursday.

“My message couldn’t be simpler: It’s time to hunker down,” Mayor Eric Garcetti of Los Angeles said. “It’s time to cancel everything. And if it isn’t essential, don’t do it.”

Governor Newsom spoke on Thursday from his home, where he was still under quarantine after three of his children had contact with someone who later tested positive for the virus. His office said on Wednesday that a staff member had also tested positive, but had not been in recent contact with Mr. Newsom.

Californians have been on a kind of emotional roller coaster ride since the pandemic began, careening between relief that the state’s early stay-at-home orders helped rein in the virus and alarm that cases surged again despite a slow reopening tailored to each county’s conditions.

On Monday, leaders said that new restrictions were in the works, and the governor released dire projections showing that without them, the state’s intensive care units would be overloaded by the middle of this month. Hospitals in hard-hit regions like the San Joaquin Valley, where many low-paid essential workers live in crowded conditions, have been filling up rapidly for weeks.

“Everything is on the table, in terms of how we guide the state through this,” Dr. Mark Ghaly, California’s secretary of health and human services, said Monday.

But after months of hearing that businesses can safely operate outdoors and with proper precautions, many Californians are pushing back against new restrictions. And a growing list of elected leaders have been caught flouting the rules they’ve urged their constituents to follow.

As in March, the rollout of new restrictions, particularly in Los Angeles County, has been confusing, and enforcement has been spotty.

Mr. Newsom said on Thursday, as he did repeatedly in the spring, that the state would withhold money from counties that refuse to enforce stay-at-home orders.

“We didn’t want to be punitive, but we wanted to be firm,” he said.

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