BREAKING: INFRASTRUCTURE FRAMEWORK REACHED — A group of bipartisan senators announced tonight that they had agreed on an infrastructure framework with the White House . The senators are meeting with President Joe Biden on Thursday to discuss the plan, but members of both parties said that his advisers had signed off today. MISSOURI COMPROMISED — Missouri is leading the country in new Covid cases , a sign that the pandemic's recovery is fleeting and fragile in the face of widespread vaccine resistance. After an explosion in Covid cases and hospitalizations this month in Southwest Missouri, Freeman Health System in Joplin, Mo., announced today it was reopening its Covid ward, which it had closed in March. "We were kind of hopeful that we were coming out of it," Larry Bergner, administrator at the Newton County Health Department which includes parts of Joplin, told Nightly today. At one point in May, the county had only eight active Covid cases. Today, Newton County has recorded 68 active Covid cases. The state's growing case counts and hospitalizations demonstrate that more than a year and half after Covid first entered the U.S., unvaccinated pockets of the country remain deeply vulnerable to Covid and the hope of herd immunity through natural infection remains elusive for now. Nearly 30 percent of new Covid infections in Missouri are caused by the potent Delta variant, first identified in India — by far the highest rate in the country, according to the most recent CDC data. And if Newton County is any guide, there may be little policymakers can do to dislodge the fierce resistance to Covid vaccinations. About 17 percent of Newton County's 58,000 residents are fully vaccinated, compared with more than 45 percent nationally and more than 38 percent statewide in Missouri. During the last seven days, about 310 county residents received a dose. That compares with about 1,100 to 1,200 during the height of the vaccination drive in March, Bergner said. The problem isn't supply, and it isn't access. The county health department even does house calls. Two nurses will administer vaccines to residents in their homes if they can't get to one of the pharmacies, health clinics or other sites doling out doses, Bergner said. Walk-ins are welcome. Many vaccine sites don't require an appointment. The problem is demand. After an initial rush, "the bottom fell out" of the Covid vaccination drive in mid-April, Bergner said. The J&J vaccine pause that same month fueled even more fear and vaccine misinformation. Most eligible adults in Newton, which is majority white, are more worried about the vaccine than the virus, according to Bergner. Mostly they believe incorrectly that the vaccine will cause long-term heart problems or infertility. The FDA said today that it plans to add a warning label to the Pfizer and Moderna vaccines about heart inflammation risks, but still says the benefits of shots outweigh the risks. Many Newton County residents just don't believe the virus is all that deadly, Bergner said. "It is frustrating, especially when you hear of someone who dies and you hear they are unvaccinated." Bergner, who describes himself as a conservative Republican, said he doesn't think the resistance is rooted in politics. But nationally, counties that voted for Trump have the lowest vaccination rates. Missouri's Republican Gov. Mike Parson downplayed the state's rising cases today, arguing that "Covid's going to still be here for a while." Bergner sighed when I asked him if there's anything left to be done to persuade people to get a shot. He has talked to other county leaders who have offered free tickets to sporting events, but they said that it didn't help much. In Alabama, only 100 people showed up to get the vaccine in exchange for a drive on the Talladega Superspeedway. "Over time, whenever we get more data as far as safety of vaccine, I think we will see people come around," Bergner said. "My only fear is that it will be too late." Welcome to POLITICO Nightly. Reach out with news, tips and ideas for us at rrayasam@politico.com, or on Twitter at @renurayasam.
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