World leaders, drug makers and others are being invited to help draft a broad framework for action that will include getting vaccine doses to poorer countries around the world.,


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Biden plans a coronavirus summit next week, aiming to create a ‘bigger tent’ to fight the pandemic.

The United Nations Secretariat Building in New York City. President Biden will convene a summit Wednesday on the sidelines of the U.N. General Assembly meeting, the first time that heads of state from around the globe have gathered to address the coronavirus crisis.Credit…Elizabeth D. Herman for The New York Times

Sept. 17, 2021Updated 12:32 p.m. ET

President Biden, under pressure to assert more leadership in ending the global coronavirus pandemic, intends to use a summit next week on the sidelines of the United Nations General Assembly meeting to convince other nations to set aside domestic demands and instead focus on getting vaccine doses to poor countries dependent on donated shots.

A senior administration official said that Mr. Biden’s message to other nations would be: “The United States cannot and should not do this alone. Everyone has to hold themselves accountable to fulfilling the commitments we’ve all made.”

The summit, which Mr. Biden plans to convene on Wednesday, will be the largest gathering of heads of state dedicated to addressing the coronavirus crisis. Previous gatherings have included much smaller groups of leaders, like those from the Group of 7 nations.

White House officials, speaking on condition of anonymity to preview a formal announcement of the summit later on Friday, said that Mr. Biden aimed to inject a fresh sense of urgency in the fight against the pandemic, as well as to “create a bigger tent” of people and groups committed to ending the pandemic. Pharmaceutical makers, philanthropists and nongovernmental organizations are being invited to participate.

The officials said that Mr. Biden wants to forge consensus around a broad framework for action, including specific targets for vaccination. The officials offered few specifics, saying that the precise goals were still under discussion.

However, the White House sent a draft document to summit invitees earlier this week that called for 70 percent of the world’s population to be vaccinated by the time the U.N. gathers again in September of next year.

The United States has already committed to sending more than 600 million doses abroad, and is working to scale up manufacturing overseas, particularly in India.

Mr. Biden has been under fire from global health advocates over his decision to promote booster shots for already vaccinated Americans while much of the world remains entirely unvaccinated and at risk. They want him to work to create manufacturing hubs in many other countries and to press vaccine makers to share their technology as part of a far-reaching plan similar to the one former President George W. Bush created to address the global AIDS epidemic.

The White House officials who discussed Mr. Biden’s summit plan insisted the United States can do both. In an interview earlier this week, Dr. Anthony S. Fauci, Mr. Biden’s top adviser for the coronavirus — and a driving force behind Mr. Bush’s Emergency Plan for AIDS Relief — said the administration was committed to doing more.

“We’re trying to figure out what is the best way to get a really fully impactful program going,” Dr. Fauci said, noting that building manufacturing plants overseas might be a reasonable step to prepare for any future pandemics, but could not happen quickly enough to end this one. “We want to do more, but we’re trying to figure out what the proper and best approach is.”

Understand Vaccine and Mask Mandates in the U.S.

Vaccine rules. On Aug. 23, the Food and Drug Administration granted full approval to Pfizer-BioNTech’s coronavirus vaccine for people 16 and up, paving the way for an increase in mandates in both the public and private sectors. Private companies have been increasingly mandating vaccines for employees. Such mandates are legally allowed and have been upheld in court challenges.Mask rules. The Centers for Disease Control and Prevention in July recommended that all Americans, regardless of vaccination status, wear masks in indoor public places within areas experiencing outbreaks, a reversal of the guidance it offered in May. See where the C.D.C. guidance would apply, and where states have instituted their own mask policies. The battle over masks has become contentious in some states, with some local leaders defying state bans.College and universities. More than 400 colleges and universities are requiring students to be vaccinated against Covid-19. Almost all are in states that voted for President Biden.Schools. Both California and New York City have introduced vaccine mandates for education staff. A survey released in August found that many American parents of school-age children are opposed to mandated vaccines for students, but were more supportive of mask mandates for students, teachers and staff members who do not have their shots. Hospitals and medical centers. Many hospitals and major health systems are requiring employees to get a Covid-19 vaccine, citing rising caseloads fueled by the Delta variant and stubbornly low vaccination rates in their communities, even within their work force.New York City. Proof of vaccination is required of workers and customers for indoor dining, gyms, performances and other indoor situations, although enforcement does not begin until Sept. 13. Teachers and other education workers in the city’s vast school system will need to have at least one vaccine dose by Sept. 27, without the option of weekly testing. City hospital workers must also get a vaccine or be subjected to weekly testing. Similar rules are in place for New York State employees.At the federal level. The Pentagon announced that it would seek to make coronavirus vaccinations mandatory for the country’s 1.3 million active-duty troops “no later” than the middle of September. President Biden announced that all civilian federal employees would have to be vaccinated against the coronavirus or submit to regular testing, social distancing, mask requirements and restrictions on most travel.

Reaching specific global vaccination targets has so far proven difficult. Covax, the U.N.-backed vaccine distribution program, announced this month that it would not be able to meet its forecast for doses available in 2021. So far, only 20 percent of people in poor and middle-income nations have received at least one dose of a Covid vaccine.

Part of the global vaccine shortage stems from potential donor countries’ domestic needs. Some nations in Asia have imposed tariffs and other trade restrictions on Covid vaccines that slow their delivery overseas. India has banned exports of Covid vaccines, preventing distributions of doses from the Serum Institute of India, the world’s largest vaccine maker.

At a briefing with reporters earlier this week, Loyce Pace, who heads the office of global affairs at the federal Department of Health and Human Services, made particular note of the administration’s work with India to lift the export ban.

“We continue to work with the government of India in particular, on their trajectory of helping produce the world vaccines,” Ms. Pace said.