(Bloomberg) -- Singapore cases fell for a fifth straight day as the country moves to relax some restrictions. Indonesia posted the lowest number of daily infections since April 2020. 

The situation is more somber in the U.S. and Europe. Several parts of the U.S. are seeing outbreaks that are as bad as ever. Germany’s latest surge in infections, Chancellor Angela Merkel said, is worse than anything the country has experienced so far. Austria went into its fourth national lockdown, while Slovakia is considering a three-week shutdown.

Pfizer Inc. and BioNTech SE said their vaccine demonstrated 100% efficacy in adolescents age 12 to 15 in a longer-term analysis, with no serious safety concerns identified.

A Morgan Stanley office was added to Hong Kong’s mandatory testing list. 

Key Developments:

• Virus Tracker: Cases exceed 257.9 million; deaths pass 5.15 million
• Vaccine Tracker: More than 7.72 billion shots given
• U.S. vaccine rates in kids mimic Covid shot gaps in adults
• Unrest is spreading in Europe as coronavirus lockdowns return
• Virus may prove elephant in the room that strategists missed
• How delta is bolstering the case for Covid boosters: QuickTake

New York County’s Mask Mandate (6:30 a.m. HK)

Erie County in Western New York is implementing a mask mandate starting Tuesday, with coronavirus cases soaring in the region.

Masks will be required at all indoor public locations including bars, grocery stores, restaurants, gyms, and places of worship, according to the county health department. 

Western New York has the highest 7-day average rate of positive tests in the state at 9.79%, compared to 3.82% statewide, according to state data. The region’s 7-day case average is 71.8 per 100,000 residents. 

Erie County reported 520 new positive cases on Sunday, the latest data show.

Morgan Stanley Office on Hong Kong Test List (6 a.m. HK)

Morgan Stanley Bank Asia Ltd.’s office at International Commerce Centre’s level 37 was added to Hong Kong’s so-called mandatory test list. People who spent time there between Oct. 31 and Nov. 3 need to be tested by Wednesday. 

N.Y. Says 90% of Adults Got First Dose (4:45 p.m. NY)

New York Governor Kathy Hochul said 90% of the state’s adults have gotten at least their first dose of a Covid vaccine. She encouraged residents to get a booster during this week’s Thanksigiving break.

U.S. Delivers Shots to Libya (4:30 p.m. NY)

The U.S. delivered 230,490 doses of the Pfizer Inc. vaccine to Libya, according to the State Department. As of last week, the U.S. had distributed 250 million doses across the world. 

French Premier Tests Positive (4:15 p.m. NY)

French Prime Minister Jean Castex tested positive for Covid-19 in a breakthrough case, Agence France-Presse reported, citing his office. Castex, who met Belgian counterpart Alexander De Croo in Brussels Monday, will isolate for 10 days. 

Chicago Expects 77% Vaccinated by Thursday (3:15 p.m. NY)

Chicago Mayor Lori Lightfoot said 77% of residents will have received at least their first dose of the Covid-19 vaccine by the Thanksgiving holiday on Thursday, weeks ahead of the city’s goal for that milestone.

N.J. Reports Spike in Schools (1:45 p.m. NY)

Schools in New Jersey are seeing an increase Covid-19 cases in students K-12 and staff since the second week of November, according to Governor Phil Murphy and Health Commissioner Judy Persichilli.

This surge in cases comes as the statewide transmission rate increases to 1.23, signaling an outbreak. More than 87,000 of children ages 5 through 11 are now vaccinated. In the last reporting period, schools reported 85.2% of staff were fully vaccinated, Persichilli said.

“We are concerned about cases in students and staff and among the general public increasing with gatherings for Thanksgiving and the upcoming holidays,” said Persichilli.

Idaho Ends Most Hospital Rationing (12:40 p.m. NY)

Idaho said it is winding down hospital care rationing rules, known as crisis standards of care, with the exception of its northern panhandle where anti-vaccine sentiment runs high.

“While the number of Covid-19 patients remains high and continues to stress health-care systems, the surge is no longer exceeding the health-care resources available except in north Idaho,” the Idaho Department of Health and Welfare said.

“For the rest of the state, health-care systems are generally using contingency operations, which means they remain stressed with an unusually high number of patients,” the department said. “It will be some time before health-care systems return to full normal operations.

NYC to Push Vaccines as Winter Nears (11:50 a.m. NY)

New York City plans to be more aggressive in pushing vaccinations as the weather turns colder and people gather indoors.

The city will have a “heavy, heavy focus on vaccination, heavy focus on youth vaccination, heavy focus on boosters,” Mayor Bill de Blasio said Monday at a briefing. “If we keep doing that, we can protect the people of the city, we can make sure that we save lives, we can make sure that our hospitals are going to be OK.”

New York City hospitalizations for Covid-19 haven’t seen the recent surges taking place in other parts of the state. The city’s seven-day average positive-test rate remained below 2% as of Nov. 20, while the Finger Lakes and Western New York regions have rates of more than 8%.

More than 811,000 New Yorkers have gotten a booster as of Monday, a jump from over 630,000 a week ago, when the city opened up boosters to all adults a few days before the federal government backed an expansion of eligibility. About 15% of children ages 5 to 11 have gotten at least one dose of the vaccine; the rate is 75% for all New York residents.

Slovakia Considers Three-Week Lockdown (11:22 a.m. NY)

Slovakia, a European Union member state, is mulling the possibility of declaring a three-week full lockdown, a move that would mirror steps taken by neighboring Austria to curb the rise of coronavirus-related deaths and new infections.

Premier Eduard Heger is “intensively” considering this option for the country, which is currently among the most hit in new cases in the world on per capita basis, his office said in emailed statement on Monday.

Slovakia’s inoculation rate is below the EU average, driven partly by conflicting messages from politicians. Former Premier Robert Fico has publicly decried the use of face masks and participated in protests against coronavirus-related measures last week. 

Singapore New Cases Slow Again (10:30 a.m. NY)

Singapore reported a total of 1,461 new cases as of noon on Monday, compared with 1,670 cases the day before according to the Ministry of Health. It was the fifth straight drop as the country moves to relax some restrictions. Singapore will allow five people from different households to sit together at restaurants as it also increases the limit on social gatherings to five people from two. 

EU Mulls Changes to Covid Certificates (8:30 a.m. NY)

The European Union will this week discuss updating its digital Covid-19 certificates and its approach to travel within and outside the bloc as member nations take varying steps to counter the latest wave of the pandemic.

Booster shots will be a topic of conversation when European affairs ministers meet in Brussels on Tuesday, along with a debate over whether to change the length of time during which a vaccine certificate is valid, according to EU diplomats who declined to be named on confidential preparations.

The ministers, who have the task of preparing the next EU leaders’ summit on Dec. 16-17, will also discuss vaccine hesitancy, which has fueled sometimes violent street protests in several member states in recent days, one of the diplomats said.

German Virus Test Kits Run Low (8 a.m.  NY)

Germans are feverishly snapping up Covid-19 test kits at drug stores and pharmacies as the country buckles under soaring infection rates and the government tightens the rules to access shops, restaurants and gyms.

Home-use infection tests that provide a rapid read-out via a nasal swab were hard to get in recent days. Major drug stores like Dirk Rossmann GmbH and DM Drogerie Markt GmbH had temporarily sold out online, and many pharmacies said they’ve been overrun by unprecedented demand for the kits, which usually retail for as little as 1.50 euros ($1.70) each. 

Merkel Says Germany Spike Worst So Far (7 a.m. NY)

Chancellor Angela Merkel said the latest surge in Covid-19 infections is worse than anything Germany has experienced so far and called for tighter restrictions to help check the spread.

Merkel told officials from her CDU party Monday that the situation is “highly dramatic” and warned that hospitals would soon be overwhelmed unless the fourth wave of the virus is broken, according to a person familiar with her remarks.

Pfizer Shot Shows More Positive Data (6:45 a.m. NY)

A longer-term review of trial data showed that the Pfizer-BioNTech Covid-19 shot remains highly safe and effective in adolescents aged 12 through 15, the companies said in a statement Monday. They will use the updated data to seek full regulatory clearance for the vaccine in those ages in the U.S and elsewhere, according to the statement.

No one who received two 30-microgram doses of the shot tested positive for Covid during a period that stretched from a week after the second dose to about four months later, the companies said. By contrast, 30 people who received placebo shots tested positive. Side effects remained “generally consistent” with other safety data for the product, the companies said.

The updated analysis involves 2,228 trial participants, with data collected between November 2020 and September, the statement said. The results come amid heightened scrutiny over how often the shot -- as well as another messenger-RNA vaccine from Moderna Inc. -- lead to heart inflammation problems. These rare events are listed as potential side effects of both products.

Austria Threatens Fines for Vaccine Holdouts (6 a.m. NY)

Austria, which woke up on Monday to its fourth national lockdown since the start of the pandemic, is threatening fines of up to 3,600 ($4,000) for people who refuse shots once mandatory inoculations kick in next year. 

The drastic measures are aimed at trying to curb a surge in infections that has left the government scrambling for solutions. Through mid-December, Austrians will only be allowed to leave home for work, essential shopping and exercise. Restrictions may last longer for the unvaccinated. The lockdown is meant to put a brake on infections before mandatory vaccinations kick in from February. That would be the first such policy in Europe, where governments have mostly kept inoculations voluntary. 

Pockets of violence were seen across Europe over the weekend, from Belfast to Zagreb, in response to various anti-Covid measures taken by governments desperate to put the pandemic behind them. Police in Brussels turned water cannon on protesters to disperse an unruly crowd. 

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