captioning sponsored by cbs >> dickerson: i'm john dickerson in washington. and this week on "face the nation," with scientists now warning if you are unvaccinated, you will likely get the coronavirus, will that change the minds of the biggest holdouts when it comes to getting vaccinated. american is seeing a summer surge of covid. case rates have more than doubled since late june, fueled by the highly contagious delta variant. >> the delta variant is covid on steroids. this virus is far more infectious than the covid we were dealing with a year ago. >> dickerson: according to the c.d.c., this surge was avoidable. hotspots are mostly states or regions with low vaccine rates. in springfield, missouri, cases are up 150% since

last month. we'll talk with the city's mayor, ken mcclure. and we'll check in with former f.d.a. commissioner dr. scott gottlieb. in their campaign to get more people vaccinated, the biden admis rgets vid-19 cialmedia misinfor. at ir message to platforms like facebook. >> biden: the only pandemic we have is among the unvaccinated. they're killing people. >> dickerson: we'll ask the head of the former cyber security agency chris krebs. and elections expert, david becker, will weigh in on challenges across the country to voting laws. and cbs news business analyst jill schlesinger will tell us why pr are rng, anif and when we can expect to see them russian return to normal. and context on new books about the trump administration, with admiral michael mullen. it isuad on "face

the nation." ♪ >> dickerson: good morning, and welcome to "face the nation." many weeks, when we put together this broadcast, were challenged by the number of stories that we want to cover and how best to illuminate them. this is one of those weeks. we're going to try to get to a lot today. our lead is clear, though, it is a story that has dominated the news for 18months now, with a dangerous new twist, causing a surge of the coronavirus here in the u.s. mark strassmann reports from van horn, texas. >> reporter: covid has boomeranged. the menace, the masking, the fear, all back. and it is largely a self-inflicted wound across our two americas. >> this is becoming a pandemic of the va midnight, los angeles

reimposed its indoor mask mandate. las vegas wants safer odds, now recommending masks in casinos and all indoor spaces. for the first time since january, new weekly covid cases have jumped in all 50 states, fueled by the delta variant. nationally, a spike of almost 70%. hospitalizations up roughly 36%. deaths, 26%. but in the same week, nationally new vaccination doses plummetted another 35%. immunologists say these dots are easy to connect. taktake texas, in the bottom 20 states for the vaccination rate. week to week, new cases soared more than 100%. or consider the sickest covid patients, the ones in hospitals. nationwide, 97% of them are unvaccinated. >> let's get rid of the vaccine. >> reporter: especially galling the scientists, rentlesf

distrust and disinformation against the vaccine. covid patients are getting younger, more children in the i.c.u. florida's rate of new covid cases four times the national average. governor ron desantis encourages vaccination but hawks merchandise on line about anti-fauci and anti-masking, and that resonates with millions of americans. >> i'm vaccinated. i don't need to wear a mask. >> reporter: infections surge in places like tennessee, in the become five for vaccinating adults. 80% of children here between 12 and 15, are also unvaccinated. but the state has stopped all vaccine outreach to adolescents. >> we've got to get folks back into their pediatrician, back into their doctor, and really ensure they have adequate access to vaccination and adequate education. >> dickerson: that's mark strassmann in van morn, texas.

we go now to ten c kenmcclyomie skyrocketed because of the delta variant. good morning, mr. mayor. >> mayor: good morning. thank you for having me. >> dickerson: in your community, the two largest hospitals are maxed out. one of them, the c.e.o. of the hospital, tweeted he was pleading with people so nurses would have to stop zipping body bags. how did it come to this? >> mayor: i think there are several reasons. first, springfield is a hub. we're an attraction for tourism, we're an attraction for transportation, for business, for higher education, and certainly health care. so people come to springfield to shop, to do business. so people will come here. and i think that has greatly increased our exposure, compounded with what has already been indicated on misinformation. >> dickerson: what kinds of misinformation are you seeing in your community? >> mayor: i think we're seeing a lot spread through social media, as people are talking about fears which they have,

health-related fears, what it might do to them later on in their lives, what might be contained in the vaccinations, and that information is just incorrect. i think we, as a society, and certainly in our community, are being hurt by it. >> dickerson: there has been a conversation throughout this pandemic about information that comes from the top down and information that comes in the community, which is why we wanted to talk to you. what is the most affective work that is going on there on the ground to address those who are vaccine hesitant? >> mayor: we are a community of collaboration. nothing really of substance gets done in springfield without lot of people talking about it. so we're focusing on those trusted community leaders, those trusted community institutions. we know if it comes from the community and leaders that people trust, that that helps. the springfield news leader this morning had a great article focusing on several community leaders who had taken the vaccine, and why they were encouraging it. we are working with so many entities to try to

spread the word. and these are trusted sources, and i think that is a key to what we have to do to overcome this. >> dickerson: how about in the churches? the pastors have been talking about it, haven't they? >> the pastors have been a great help through this. we had established, in april a year ago, what we called the "have faith" initiative, which had 80 to 100 churches across denom national li denominational churches. we've had pastors stepping up in the pulpit and urging that their followers get vaccinated. people respect those with whom they worship, their worship leaders, and we're relying on those trusted entities. we that, just this past week, the latest numbers showing that we had the largest increase in our vaccination rate in several weeks. so i'm optimistic that that message is starting to take hold right now.

>> dickerson: how about there is another somewhat mildly controversial issue about going door to door to get information to people who may not get this kind of accurate information you are talking about. how has that worked in your community? >> mayor: well, i think the whole discussion on going door to door has been overblown. i will tell you that public health has being using the going to door to door philosophy for years. it is a tried and true practice, which they use. our springfield public health department is using it, has been using it for a long time. the key is these are trusted community people. we call them community advocates. so it gets down to the people that community members will trust, spreading information that is factual and trustworthy. ichow has the community in the -- in the past, there have been instances where a community faced with a challenge like this unify, but we've seen so much disunity in america on so many of these questions

related to the coronavirus, how has the reaction been in this recent wave as you've seen the delta wave come through springfield? >> mayor: the most recent wave, in my opinion, is very positive because we're talking about community collaboration. and that ultimately will the key to our success. we know what the solution is: it's vaccination. people neat to ged -- people no get it. it is encompassing down to age 12. so it comes down to the community institutions and people that people trustk saying yotrust,saying that theyo get vaccinated. >> dickerson: mask mandates have come back for the summer. what do you think about mandatory vaccinations for the fall, when they go back to school? >> mayor: well, mandatory vaccinations are going to be a very, very touchy issue, particularly as you get into

publicly-funded institutions. some private institutions are doing that. i know our school district is strongly encouraging that vaccinations occur. they'll be doing that, i think, as students come back in the fall, and to urge their parents to do that. but i have every confidence that the springfield public school district will take the appropriate steps to make sure students are as safe as they can be. i know they want to focus on in-person learning, and i believe they will be able to do that. >> dickerson: a number of other counties in missouri have low vaccination rates. what would you advice the mayors and leaders in those counties who haven't yet experienced what you're going through. what would your message to them be? >> mayor: my message is that the surge is coming. the delta variant will be there. it is already spreading throughout missouri. take advantage of this time to get your vaccine rates up as high as you can. use your community collaboration, your trusted sources. make sure that people have good information, solid information, and use that

time-wisely because it will be too late, if you have not established those relationships, by the time it gets there. the surge will spread, and hopefully people can learn what we've been experiencing in springfield. >> dickerson: mayor, thank you so much for being here. good luck in your community. thanks again. and we go now to former f.d.a. commissioner dr. scott gottlieb, who is on the board of pfizer, and who joins us from west port, connecticut. good morning. >> doctor: good morning. >> dickerson: so the c.d.c. director said this week that there is an epidemic of the unvaccinated. what is your reaction to that? >> doctor: well, look, when you look at the people who have been hospitalized, 97% of the hospitalizations are in people who are unvaccinated. and most of the deaths that are occurring is in people unvaccinated. many people are no longer susceptible to covid -- about 50% of the population has been fully vaccinated, and probably

another third has been previously infected with the virus. but if 25% of the population remains susceptible to the virus, that is still a lot of people. and this virus is so contagious, this variant is so contagious, it is going to infect the majority of them. most people will get vaccinated or were previously infected, or they will get this delta variant. it will be the most serious virus they get in their lifetime in terms of the risk of putting them in the hospital. >> dickerson: we just talked to the mayor of springfield, missouri, who sent the message to other communities that it is coming. it just reminds me of the original days of this pandemic, where the numbers kind of caught up to where reality was. do we have a handle, really, on the delta variant and how it is spreading and how much of it there is in the community? >> doctor: we've seen the coupling between cases in hospitalizations and deaths. england has seen that as well, and they're further ahead in terms of the

delta variant. i think at this point we're probably undercounting how many infections there are in the united states because to the extent that a lot of the infections are occurring in younger people, they're probably not presenting to get tested. to the extent there are some breakthrough cases, a.sta.systematic, they're not presenting because you don't think you have the coronavirus. unless you work for the new york yankees, wriewr you're not getting tested on a regular basis. so i think this delta variant is far more spread than we detecting. at the peak of the epidemic in the wintertime, we were probably turning over one in three or one in four infections. in the summer wave of last summer, we're were probably picking one in 10. we might be picking up one in 10 or one in 20, because more are presenting in people who

won't present for testing. so the people who are tending to be tested are people who are getting very sick, or who are developing tell tale systems of people, like loss of taste or smell. >> dickerson: so if there is low ascertainment, and we don't know as much, and you live in a low vaccinated community, that doesn't have the headlines about hospitals filling, is it a fair expectation you'll start seeing those headlines in some number of days? >> doctor: it depends on where you live. if you live in states like where i live, where vaccination rates are high, there is a wall of immunity, and i think it will be a backdrop against delta spread. if you're in states that are low in vaccination, like in the south, i think it is much mor abpecially if you live in communities where the prevalence is already high, i nk precautions. delta is so contagious, when we talk about masks,

i don't think we should just been talking about masks. i think we should be talking about high-quality masks. where people are more contagious and exude mere virus. trying to get n-95 masks into the hands of vulnerable individuals in places where this is really epidemic, i think isgoing to be important. if they want to add another layer of protection, even if they're vaccinated, there is a supplier of n-95 masks. there is no shortage. it could be something we start talking about, getting better quality masks into the hands of people. we can certainly provide them so people can use them on a voluntary basis to try to protect themselves. >> dickerson: one of the things we have seen among people who have not been vaccinated, they say i'll wear a mask. but you have to have an n-95 or something that is truly robust? >> the doctor: right. the original discussion was if we put masks on

everyone, people who are asymptomatic wouldn't be contagious. there is now data in covid. but if you want to divisive protection from the mask, from others spreading the virus to you, quality of mask does matter. a high-quality n-95 mask will afford you a better level of protection, especially if you fit it and wear it properly. if you're a vulnerable individual who wants to use that mask to protect yourself, and not just cut down on the risk you could be a super spret spreader, you have to look out for high-quality masks. during the pandemic, people were reluctant to recommend that because there was a shortage. but now you can get them from reputable suppliers, : from ameig are the one or two things that are out there that are the biggestwgu:c

misinformation in your view? >> doctor: probably the most pervasive is that somehow the vaccine itself is going to have an impact on fertility. i think that is discouraging a lot of young women from getting vaccinated. what we've seen is covid infection during pregnancy can be very dangerous. every woman who is a prospective mom should be talking to their doctor about getting vaccinated. they have something called v-safe, where they have 133,000 women who registered for this, and they got vaccinated while they were pregnant, and they are collecting data on the safety of the vaccine during pregnancy and it looks very encouraging. pfizer is doing a study of the vaccine in pregnancy. i think that is the single biggest piece of misinformation. and the other is this that this is a genome. that's not the case.

this is an mrna. it is a protein on the surface of the virus that we want to develop antibodies against. it either destroys it or it translates into the protein, and your body develops antibodies against that. they are trying to deliver a protein on the surface of the virus that you're trying to stimulate the immune system. in this case what you're delivering is a genetic sequence for that protein. >> dickerson: dr. scott gottlieb, thank you so much. much. as always, we'll see you next week. "face the nation" will be back in a minute. back in a minute. stay with us. designers and do-it-yourselfers. if joint pain is getting in the way of who you are, it's time to talk to your doctor about enbrel. enbrel helps relieve joint pain, and helps stop permanent joint damage. plus enbrel helps skin get clearer in psoriatic arthritis. ask your doctor about enbrel,

so you can get back to your true self. play ball! enbrel may lower your ability to fight infections. ev including infections, play ball! tuberculosis, lymphoma, other cancers, nervous system and blood disorders ic reactions have occurred. tell your doctor if you've been someplace where fungal infections are common. or if you're prone to infections, have cuts or sores, have had hepatitis b, have been treated for heart failure, or if you have persistent fever, bruising, bleeding or paleness. don't start enbrel if you have an infection like the flu. visit enbrel.com to see how your joint damage could progress. enbrel. eligible patients may pay as little as $5 per month. >> dickerson: last week the biden administration outlined several steps aimed at fighting back against both cyber-attacks and misinformation campaign. chris krebs is the former director of thybe

cyber-security infrastructure security ach see, and he joins use. >> dickerson: let's start with misinformation. the surgeon general put his take on blocking people getting vaccines. do you see similarities between those two? >> absolutely. it was a remarkable week in terms of pronouncements both from some of the social media platforms, facebook, as well as the administration. what we are seeing here, though, is an eco-system of information purveyors. some of this is politically motivated. some of it is the anti-vax community. some of it is, you know, profiteering. i tend to believe there is a lot of th here. >> dickerson: people selling quack cures? >> yeah. there was a "washington post" piece about a former f.t.c. commissioner that asked the f.c.c. to

investigate some of the profiteering off of the pandemic. and i think that is an incredibly important development in how we're going to move beyond, not f et the pandemic-related elec-related disinformation. >> dickerson: is there any foreign meddling in this kind of disinformation? we know about people passing -- neighbors who are passing information that isn't square, but are there any foreign entities involved? >> i think, yes, there are. there tends to be a set of actors. there are state actors, intelligence agencies, again, the profiteers, conspiracy therapists and anti-vaxers, and you have political activists as well. what happens, whether it is elections, whether it is covid, whether it is technology issues, you tend to have an overlap of these different actors. and when you talk about foreign actors and russian disinformation specialists in particular, they don't actually have to do a

whole lot because we've done so much here domestically to ourselves. but they get the seeds of division that they amplify. and what they're looking to do is undermine our confidence in the united states of ameriours dicrson:ant. let me ask you about facebook. they responded to the administration and said 85% of our users are interested in vaccines. basically saying that the administration is wrong. but the center for countering digital hate said that there are basically about 12 facebook accounts that are spreading this disinformation. help us think through what the right way to think about this is. >> unfortunately, both can be true at the same time. yes, facebook and other social media platforms can provide helpful information on the facts behind the vaccine. and the same thing happened in the elections. last year they had a banner and a trust page. but at the same time,

there are those who can use those platforms for their own benefits to continue to push disinformation. what has happened over the last several months is that some of those, the dirty dozen or whatever they're calling it -- some of those have be deplatformed. but the problem is, particularly for vaccine disinformation, isn't it is me metasized. you mentioned about the top down and the bottom up grassroots, it is so pur pervasive, it exists on facebook and elsewhere. that's where we need the platforms to be more transparent in hour their algorithms work and how engagement works, so that outside security experts and researchers can dig in and hold them accountable, that us as consumers of these platforms can hold them accountable and demand better. >> dickerson: we have 15 seconds left. you mean the structure of facebook is raising and

people are spreading disinformation? >> unfortunately, and those clicks drive more engagement. >> dickerson: stay right there. chris will be right back. we need to take a short break, but stay with us. [music stops] and release. [deep exhale] [fast upbeat music resumes] [music stops] overwhelmed by the ups and downs of frequent mood swings of bipolar i? ask about vraylar. some medicines only treat the lows or highs. vraylar effectively treats depression, acute manic or mixed episodes of bipolar i in adults. full-spectrum relief for all bipolar i symptoms with just one pill, once a day. elderly patients

with dementia-related psychosis have an increased risk of death or stroke. call your doctor about unusual changes in behavior or suicidal thoughts. antidepressants can increase these in children and young adults. report fever, stiff muscles, or confusion, which may mean a life-threatening reaction, or uncontrollable muscle movements, which may be permanent. side effects may not appear for several weeks. high cholesterol and weight gain, and high blood sugar, which can lead to coma or death, may occur. movement dysfunction, sleepiness, and stomach issues are common side effects. and you can pay as little as $0 if eligible for your first 2 prescriptions. when bipolar i overwhelms, vraylar helps smooth the ups and downs. (judith) in this market, you'll find fisher investments is different than other money managers. (other money manager) different how? don't you just ride the wave? (judith) no - we actively manage client portfolios based on our forward-looking views of the market. (other money manager) but you still sell investments that generate high commissions, right? (judith) no, we don't sell commission products. we're a fiduciary, obligated to act in our client's best interest. (other money manager) so when do you make more money? only when your clients make more money?

(judith) yep, we do better when our clients do better. at fisher investments we're clearly different. >> dickerson: if you're not able to watch the full "face the nation," you can set your d.v.r., or we're available on demand. plus, you can watch us through our cbs or paramount+ app.

>> dickerson: we'll be right back with a lot more "face the nation," continuing our conversation with chris krebs. stay with us. ♪

this is the "cbs overnight news." good evening and thanks for watching. we begin tonight with a dangerous covid surge that health experts say was avoidable, with new cases fueled by the unvaccinated. a new cb news poll finds most americans think the fight against the pandemic is going somewhat well. and president biden is getting positive marks for his handling of the virus. for the very latest with beginning with lilia in los angeles where some mask mandates have returned. >> reporter: los angeles is the t cooreasks

again. the mandate is f