BALTIMORE — The number of confirmed U.S. coronavirus cases has surpassed 20 million, according to data from Johns Hopkins University.

That’s nearly twice as many as the No. 2 country, India, and nearly one-quarter of the more than 83 million cases globally.

The U.S. continued to surpass other countries in COVID-19 cases as it reached 20 million at the start of the new year, according to data kept by Johns Hopkins University.

COVID-19 deaths have also increased in the country, now totaling more than 346,000.

India and Brazil trail behind the U.S. in coronavirus cases at over 10 million and 7 million, respectively.

The increase comes as officials race to vaccinate millions of Americans but have come off to a slower and messier start.

President-elect Joe Biden criticized the Trump administration Tuesday for the pace of distributing COVID-19 vaccines and vowed to ramp up the current speed of vaccinations. However, Biden acknowledged that it “will still take months to have the majority of Americans vaccinated.”

Globally, more than 83 million cases have been confirmed.

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THE VIRUS OUTBREAK:

For months, California did many of the right things to avoid a catastrophic surge from the coronavirus pandemic. Now infections are racing out of control. Tens of thousands of Americans have volunteered to test COVID-19 vaccines, but only about half of them got the real thing during trials. Experts now debate whether to offer all volunteers the real thing. Israel says it has vaccinated 1 million peopl e against COVID-19, more than a tenth of its population, as it rolls out one of the world’s earliest and most rapid inoculation campaigns. Police in Wisconsin say they’ve arrested a hospital employee suspected of intentionally spoiling COVID-19 vaccines.

___HERE’S WHAT ELSE IS HAPPENING:

WASHINGTON — Republican Sen. Mitt Romney of Utah is assailing the slow pace of vaccinations against the coronavirus.

He says it’s “incomprehensible” and “inexcusable” that the Trump administration has not developed an efficient federal vaccination model for the states.

Romney says it was unrealistic to assume that health care workers already overburdened caring for COVID-19 patients could carry the brunt of the vaccination program or that the big drugstore chains would have the workers to inoculate millions.

He’s suggesting that public health authorities seek to enlist all retired or active medical professionals who are not otherwise engaged in care, as well as veterinarians, combat medics, medical students and first responders in the effort. He says they could be easily trained to administer the vaccines.

Overworked, underfunded state public health departments have been scrambling to get up to speed on vaccinations even for the frontline workers and long-term care residents who were given priority.

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MILAN, Italy — Italy added another 462 virus deaths on Friday for a known pandemic death toll of 74,621, the highest in Europe.

Italy’s daily death toll remains stubbornly high more than two months into restrictive measures and in the second week of a modified lockdown.

The number of new positives dipped by 5% from a day earlier, to 22,211, while 15% fewer tests were administered, according to Health Ministry statistics. Italy is launching its vaccine campaign and is first targeting residents of nursing homes and medical personnel.

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PORTLAND, Ore. — An Oregon health care worker has been hospitalized after having a severe allergic reaction to the Moderna COVID-19 vaccine.

The Oregon Health Authority says the employee at Wallowa Memorial Hospital experienced anaphylaxis after receiving a first dose of the vaccine this week.

The health authority said vaccines for COVID-19 can cause mild to moderate side effects in some people. This can include pain and swelling on the arm and sometimes fever, chills, tiredness and headache. In rare cases, some people have experienced severe allergic reactions.

Health officials will continue to track adverse reactions.

So far, 38,698 doses of the COVID-19 vaccines have been administered in the state of Oregon since the week of Dec. 13.

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FORT YATES, N.D. — The Standing Rock Sioux Tribe in North Dakota is prioritizing the distribution of COVID-19 vaccines to those who speak Dakota and Lakota languages.

Standing Rock Tribal Chairman Mike Faith tells KXMB-TV it’s about keeping customs alive.

“It’s something we have to pass on to our loved ones, our history, our culture our language. We don’t have it in black and white, we tell stories. That’s why it’s so important,” Faith said.

The Standing Rock reservation straddles the North Dakota and South Dakota border and is home to about 8,000 people, more than half of whom live in North Dakota.

Faith said only about 300 people on the reservation are fluent in the language.

Frontline health care workers already have begun receiving he vaccine at the Fort Yates hospital, but starting next week priority will be for those who speak their native language.

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PARIS — Ravers at an underground, curfew-violating New Year’s Eve party that drew at least 2,500 people in western France attacked police units sent to shut them down, torching a vehicle and injuring officers with bottles and stones, officials said Friday.

Hundreds of vehicles carrying party-goers started converging on hangars in Lieuron, Brittany, on Thursday night, the regional government Friday said in a statement.

Gendarmes and their vehicles were attacked when they tried to stop the ravers from installing their party gear. Some officers suffered light injuries, the statement said. On Friday morning, 2,500 ravers from France and abroad were still partying, circled by a reinforced police presence.

First aid workers were distributing masks and hand gel to try to limit coronavirus infections.

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BANGKOK — The Thai capital is shutting down venues including schools and entertainment parks as coronavirus cases continue to spread.

Thailand reported 279 new cases on Friday including two deaths.

Seven provinces including Bangkok have been designated red zones where places including entertainment venues, boxing rings, gyms and flea markets are ordered closed. Restaurants are allowed to serve only takeouts.

The restrictions are in place until mid-January.

The new outbreak has spread from the country’s largest wholesale seafood market in Samut Sakhon south of Bangkok and the gambling den in Rayong, and both places continue to log the highest number of infections. Bangkok reported 180 cases in the last 24 hours.

A spokesman for the COVID-19 center, Dr. Taweesilp Visanuyothin, said that the Health Ministry had contacted Oxford-AstraZeneca to purchase a second batch of 26 million doses of the vaccine. The deal would double the number of doses to be supplied by the British vaccine manufacturer.

The first 2 million doses are expected in February and March and will be given to medical staff.

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BEIJING — Two major airports in northeastern China are requiring departing passengers show a negative coronavirus test taken over the previous 72 hours before they can board their planes.

The requirements by the Shenyang and Dalian come amid a small but persistent growth in cases in the two cities located in Liaoning province just north of the capital Beijing.

Four new cases were announced Friday in Liaoning, along with another five cases in Beijing, where emergency testing was ordered for more than a million people following the detection of a small cluster in the northeastern suburbs.

Wary of another wave of infections, China is urging tens of millions of migrant workers to stay put during next month’s annual Lunar New Year holiday, usually the world’s largest annual human migration. Classes are also being dismissed a week earlier than usual and tourists are being told not to come to Beijing for holidays.

China on Friday reported a total of 19 new virus cases, including 10 that were brought from outside the country. Since the novel coronavirus was first detected in the central city of Wuhan in late 2019, China has reported a total of 87,071 cases and 4,634 deaths, although some question whether those figures underreport the full extent of the outbreak in China the country.

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MIAMI — Florida health authorities late Thursday reported finding evidence of the latest U.S. case of the new and apparently more contagious coronavirus strain first seen in England, saying it was detected in a man with no recent travel history.

The case, disclosed in a Florida Health Department statement tweeted on its HealthyFla site, comes after reports in recent days of two individual cases of the United Kingdom strain of Covid-19 discovered in Colorado and California.

Florida’s health statement said the new virus variant was detected in a man in his 20s in Martin County, which abuts the Atlantic Coast above densely populated South Florida. The health department did not give further details, such as releasing the man’s medical condition or how the strain was detected.

California on Wednesday announced the nation’s second confirmed case of the new virus strain. The announcement came 24 hours after word of the first reported U.S. variant infection, which emerged in Colorado — in a Colorado National Guardsman who had been sent to help out at a nursing home struggling with an outbreak.

Scientists in the U.K. believe the variant is more contagious than previously identified strains. The cases have triggered questions about how the version circulating in England arrived in the U.S. and whether it is too late to stop it now, with top experts saying it is probably already spreading elsewhere in the United States.

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LONDON — The coronavirus pandemic canceled London’s annual New Years’ Eve fireworks display, which usually draws tens of thousands of spectators.

But an unannounced light and fireworks display over the River Thames broadcast on BBC television just before midnight paid tribute to an extraordinary year, with tributes to health care workers, a reference to the Black Lives Matter movement and even a voice saying “you’re on mute” in reference to a bugbear of virtual work meetings.

The display ended with naturalist David Attenborough calling on everyone to work in 2021 to help our “fragile” planet. ___

LATHAM, N.Y. -- Officials in upstate New York say nine nuns at a convent have died of causes related to COVID-19 in just over a month.

An Albany County spokesperson says in a statement to the Times Union newspaper that officials are aware of the deaths among the Sisters of St. Joseph of Carondelet in Latham.

WNYT-TV reported earlier in December that 22 sisters had tested positive. The convent’s website says it is home to 140 nuns.

The Roman Catholic Diocese of Albany says the convent is not ready to issue a statement.

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GENEVA — The World Health Organization says it has cleared the Pfizer-BioNTech coronavirus vaccine for emergency use, meaning poorer countries may soon get access to the shot already available in Europe and North America.

Every country that has a drug regulatory agency will have to issue its own approval for any COVID-19 vaccine, but countries with weak systems usually rely on WHO to vet the shots.

The global body said late Thursday that the decision to issue its first emergency use validation for a COVID-19 vaccine “opens the door for countries to expedite their own regulatory approval processes to import and administer the vaccine.”

The U.N. health agency said its review found the Pfizer-BioNTech vaccine, which has already received clearance in the United States, Britain, the European Union and a dozen other countries, “met the must-have criteria for safety and efficacy set out by WHO.”

The BioNTech-Pfizer vaccine has to be stored at ultra-frozen temperatures, a big hurdle for developing countries where the required freezers and reliable electricity supply may not be available.

“This requirement makes the vaccine more challenging to deploy in settings where ultra-cold chain equipment may not be available or reliably accessible,” WHO said, adding that it was “working to support countries in assessing their delivery plans and preparing for use where possible.”

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