captioning sponsored by cbs >> dickerson: i'm john dickerson in washington, and this week on "face the nation," covid summer surge threatens america's recovery and brings fresh urgency to the country's vaccination push. along with the heat and the fires and the drought comes a fourth wave of coronavirus. cases, hospitalizations and deaths are all on the rise nationwide, with the contagious delta variant responsible for more than 80% of new infections. >> it has gotten a bit politicized, but i hope it is starting to change. it is not about red states or blue states. it is about life and

death. >> dickerson: but severe illness and deaths are among those who are largely unvaccinated. we'll talk with former surgeon general dr. jerome adams. and the debate over face coverings is back as some cities reimpose mask mandates. are they an affective tool against the new viral variant? we'll check in with former f.d.a. commissioner dr. scott gottlieb. plus... >> biden: we know our economic recovery hinges on getting the pandemic under control. >> dickerson: we'll talk with commerce secretary gina raimondo. and we'll hear from kansas mayor quinton lucas, whose city is grappling with both covid and crime. last year there were a record number of homicides in kansas city. this year is on track to be even worse. what can be done to stem the tide. finally, we'll get an eyeopening look at the

chaotic last year of the trump presidency with carol leonnig and philip rucker. it is all ahead on "face the nation." ♪ >> dickerson: good morning and welcome to "face the nation." the highly contagious delta variant is driving the country into a fourth wave of the coronavirus pandemic. infections continue to surge, and with less than half the country fully vaccinated, public officials are urgently trying to convince the hesitant so that the spike doesn't drag on into the fall. we begin with mark strassmann in atlantic. unvaccinated america is playing covid roulette with a mix of reluctance and defiance. and in places like new orleans, the dominant delta variant has pounced.

>> it is more aggressive. it is deadlier, and it is in our community. >> reporter: nationally, new covid cases have spiked almost 50%. rises in all 50 states, and 90% of u.s. jurisdictions. >> if you can, please get vaccinated. >> reporter: ominously, week to week covid hospitalizations and deaths both jumped again. >> we're in trouble. >> reporter: trouble because of deserted vaccination clinics like this. everyone has freedom of choice, even when it becomes your problem. governor kay ivey's problem in alabama, new cases up 766% in the last month, in a red state with one of america's lowest vaccination rates. >> folks are supposed to have common sense. it is time to start blaming the unvaccinated folks, not the regular folks. >> reporter: taken ken, since march 1st, 95% of

all covid cases, 92% and all hospitalizations, and 89% of deaths were among unvaccinated or partially vaccinated deaths. >> i'm more afraid than anything, i'll put it that way, than i would have been if i had gotten the vaccine. >> reporter: vaccination rates in the next few weeks may define this fourth phase of the virus. >> like how i saw my parents struggling to breathe. it took me to watch my parents suffer. >> reporter: and there is new vaccine pressure. the nfl warned this week that outbreaks among unvaccinated players could lead to forfeitted games and paychecks. and more universities and employers have started to impose vaccine mandates. >> vaccines are how we end the pandemic, how we protect our communities, and how we retire our masks for good. >> reporter: but for now, masking is back, not everywhere, but increasingly recommended, even required. across the south, school

starts in a couple of weeks, and when it does, atlanta's system will require students and teachers to wear masks. john? >> dickerson: mark strassmann, thank you. the world health organization is warning that countries are in the globe of covidf infections and deaths. this comes as demonstrators in france, ialy, and australia took to the streets this weekend, protesting against vaccination passes and new lockdown measures. elizabeth palmer has the latest from london. >> reporter: good morning. the idea of vaccination passports is gaining traction in europe. six countries now have some version of them, and france has the strictest rules. there, it will be necessary to even enter many public places. and that kicked off violent demonstrations in paris. riot police tousled with protestors on saturday, which was dramatic, but actually a side show because most people have

accepted the new rules. in the line for the eiffel tower, some showed bar codes, others hard copies, and there was even on-site covid test uld get in too. police in sydney, australia, docked flower pots. august had kept covid at bay by closing its borders, but the virus sneaked in anyway, and infections are on the rise. in brazil, thousands of demonstrators hit the streets. but they're demanding more vaccinations and blame the president's bundled covid response for one the highest death rates anywhere. although currently argentina's is even higher. the countries are losing more people to covid than anywhere else on earth.

asia is also hard hit. the olympics got under way in tokyo with virtually no spectators. and dozens of athletes have had to pull out after testing positive. indonesia is overtaking india as the current asian hotspot. in jakarta, families cud cued in the streets to by oxygen. and victims often fall ill and die at home. but there are stories of remarkable covid recovery. how about 102-year-old nicolai, who left the hospital this week, bursting with pride to have battled the virus and won. and there is some global good news, too: over a quarter of the adult population of this earth has now had at least one dose of coronavirus vaccine. and overall, deaths are on their way down. john? >> dickerson: liz

palmer, thank you. and now we go to former f.d.a. commissioner dr. scott gottlieb, who is also on the board of pfizer. he joins us from las vegas, nevada. good morning, dr. gottlieb. >> doctor: good morning. >> dickerson: let's start -- people are hearing about increasing cases, maybe wearing masks, even if you're vaccinated. and there is talk of breakthroughs if your vaccinated. you always want to start with the risk decisions that people have to make for themselves. so how should americans think about what is happening right now and how they should make their own risk judgments based on what you know? >> doctor: well, the first thing i would urge americans to do is to get vaccinated. we know that the vaccines are highly affective, even against this delta variant. it was showing that the vaccines are 88% affective against symptomatic disease. and if they get one now, they'll have protection through the fall and winter. whether your vaccinated or unvaccinated, if you want to add an additional

measure of protecting you, if you're in a high prevalence environment, a mask can still be helpful against this new variant. the physical characteristics of this virus has not changed. the reason it is more transmissible it is because there is more of it. the characteristics of the virus haven't changed, as far as we know. it is not more airborne, more likely to be permeable through a mask. so a mask can still be helpful. i think if you're going to consider wearing a mask, the quality of the mask does matter. if you can get your hands on a k.n.matic m n.mask or an n5 mask, that would be good. now there are plenty of masks. the biden administration has done a got job ramping up the supply. i would encourage people to try to get their hands on a better quality of

mask. and the final piece of advice i would give is: if you are vaccinated, can you still spread the virus? we had pretty good data if you were vaccinated, you were far less likely to transmit the virus. that's probably still true, but if you are vaccinated and you do develop an asymptomatic or mildly symptomatic infection, there is probably a higher chance you can transmit because there is just more of this virus. so if you're around vulnerable people, if you're taking care of a newborn born or an elderly patient, if you don't feel well, even if your vaccinated, you should probably get self checked out. >> dickerson: do we have a handle on this delta variant in terms of how much there is? and some of the questions you just raised -- is it a ofttle more fushamight hop>> do

this infhe i original version. but the other thing we know about this is the virus levels go up very quickly. that's why we think it is easier for this virus to overwhelm the immune system. if you get this new delta variant, it is easier for the delta variant to overwhelming low antibody levels. so that's why we're considering whether or not some people night need boosters. we know you have more virus on board earlier in the course of the infection and you are going to shed more virus. and it makes it more likely you'll develop an infection from this new variant. >> dickerson: there was a study done that says

basically we may be in this period we're in now all the way through into mid-october. the c.d.c. came out with numbers and said over the next three weeks, there may be between 90,000 and 800,000 new cases. that seems like a very big range, between 90,000 and 800,000. what is your sense of how long we'll be in this period we're in? >> doctor: people are having a hard time modeling this new variant. but, you're right, if you look at heading into the week of august 14th, the models that the c.d.c. put out estimated there is going to be anywhere from 10,000 infections a day over the course of that week to 100,000 infections. which is an indication they don't have a good sense where we're heading with this outbreak. i believe there is more virus than we're picking up. there is a lot of people with milder infections, and more of the infections

happening in a younger population, that is less likely to become very systematic. more of the testing we're doing is antigen tests that are being done at home and not getting reported. so i think we're much further into this epidemic that we're picking up, and hopefully further through this epidemic. if you look at the u.k., and we're probably three, four weeks behind the u.k -- if you look in the u.k., they do, in the last seven days, appear to be turning the corner. it is unclear if that is going to be sustained. they just lifted a lot of the mit dpaition mitigation then place. we are perhaps furp further into this epidemic and will turn the corner in the next two or three weeks. >> dickerson: in hindsight, wouldn't it have been better if the c.d.c. tracked the breakthrough cases on vaccines, so we would have a clear view of how possible it is for a breakthrough, and how much you might be able to spread, even if you've got

a very mild case once you've been vaccinated? >> doctor: i think that is absolutely the case. right now the c.d.c. is only tracking breakthrough affections when people get hospitalized. we know the vaccines are very good at preventing hospitalizations in florida. 95% of the people hospitalized are people who are not fully vaccinated. we need to understand if vaccinated people are developing sub clinical and mild infections, and whether or not they can spread the virus. and we're simply not tracking that. so we're depending on other nations, like israel, on answering those questions. the question i get from vaccinated people is whether or not they can spread the infection. they were far less likely to spread the infection with the other variants. we don't know a lot about this delta. the c.d.c. should be looking at this. >> dickerson: in the last 40 seconds we have here, those having kids going back to school, under 12years old, and the vaccine is not available,

what is your sense of when that might be available for those under 12. >> doctor: pfizer is one of the companies developing this, and it is a 10 microgram vaccine, which is a milder dose. the clinical data from this tis september. es fie to, shldeablen it is unlikely to be available before mid-winter because i believe that the f.d.a. is likely to require at least four to six months of followup of the children in that clinical trial. so it puts it more in the wintertime frame. >> dickerson: dr. scott gotten lgottlieb, thanks, as always. and we'll be right back.

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 report fever, stiff muscles, csn icy mefening reaction, may beermanent. 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. >> dickerson: we go to dr. jerome adams, the u.s. surgeon general in the trump administration. he joins us from indianapolis. good morning, doctor. >> doctor: good morning, john. good to be with you. >> dickerson: let's start with the comments by

governor kay ivey of alabama, which is a state that has had very low vaccination rates. i've seen you out talking trying to conjole and convince people. she said folks are supposed to have common sense, but it is time to start blaming unvaccinated folks not the regular folks. it is the unvaccinated folks that are letting us down. how do you think that is going to go over? >> doctor: i think everyone has a different approach and different levers. i think there are a lot of people out there who have legitimate questions and legitimate barriers. for instance, there are people who have access issues. they're gig economy workers. they are people who are scared if they take the vaccine and have side efects, they're not going to be i believe to go in to work the next day and they may miss out on a paycheck. and you asked dr. gottlieb about kids getting vaccinated. we have no clear timetable on when we can expect

f.d.a. licensure of this vaccines for adults. and, number two, i can tell you the quickest way to get people vaccinated is through mandates. and we can't have mask maippmandates -- if you want to get a bunch of people vaccinated really quickly, get the vaccines licensed and you'll see the military make it mandatory and businesses make it mandatory. >> dickerson: let me ask you about the governor -- she said people are letting us down. can we do a brief public service announcement here? a lot of people have talked about the vaccine as individual choice. others, who have been vaccinated, say what do i care if people don't get vaccinated, i'm protected. can you remind people why it is important beyond just the bou boundaries of your own body to get vaccinated. >> i say to people, it is your choice, but choices

come with consequences to you and other people. the consequences oths tht you t my 11-year-old daughter,can'tet. you may put my werapt risk. or my mother who had a stroke last year in the middle of the pandemic at additional risk. but there is also real harm to you. because, guess what? more mitigation is coming, whether it is masking or closures or whether it is your kids having to return to virtual learning. that is coming, and it is coming because this pandemic is spiraling out of control yet again, and it is spiraling out of control because we don't have enough people vaccinated. so get vaccinated because it helps your neighbors. but get vaccinated because it is going to help every single american enjoy the freedoms we want to return to. >> dickerson: you wrote a piece saying that the c.d.c. should change their guidance on masking, even if you're vaccinated, you should get masked. why do you hold that position? >> doctor: well, we need to learn from what happened in the past.

and in the past, i i was reflecting back on my own statements about masking, and i wish i had been humble enough to understand that this is a new virus. i wish that my message had been heard differently. and what i said and what dr. anthony fauci because saying save the medical masks for the medical workers. but what people heard was that masks don't work, which was not the message that we were trying to send moving forward. the c.d.c. put out new guidance in may. and that guidance, quite frankly, had confused citizens. it has frustrated businesses, and public health officials who i continue to hear from. vaccinations are down, and cases are up. so it is time for the c.d.c., if you don't want to call it,, if you don't want to say we're changing the guidance, let's calllaca t' ond're

vaccinated and you're around other people who people, i still don't wear a mask. but if you're out in public, and you don't know if they're vaccinated or not, and especially if you're in a community where prevalence is going up, as dr. scott gottlieb said, it is safest for you to mask, whether or not your vaccinated. and the businesses that don't have a good way of knowing who is vaccinated or not, they are going to find they have no other choice but to call on people to mask. they have to clarify the guidance that they have out there. >> dickerson: how affective do you think that will be? i think of florida and governor desantis who has basically built an argument on pushing back against the mandates. when the c.d.c. suggested masking for those under 12 in schools, he said, no, we're not going to do that here. so the c.d.c. can issue

guidelines, but there are a lot of people who are only too happy to push against those guidelines. >> doctor: well, there is always going to be exceptions. one of the great things about america is that we have the ability, state by state, for people to do what they feel is best for their state. but the fact is for every person that you point out, like a governor desantis, there are a number of health officials who say if you give us cover, we're going to move in this direction. businesses will still be able to lean on c.d.c. guidance and say we're doing this because of the c.d.c. guidance. wal-mart said we have no way of telling who is vaccinated, so mas no masks for everyone. we've got to give those folks some cover. >> dickerson: doctor, a record number of overdoses last year, this is an issue you worked on. why is the overdose number up? >> doctor: john, this is personal to me, as i've talked about before. i have family members, my

own brother who is suffering from substance abuse disorder. in 2020, we saw numbers skyrocket. we had a record year, 70 that is people sadly died of drug overdoses. we blew that away last year because of covid. 93,000 people died. we know that both isolation from covid, and stress from covid, and also cut off from resources, 43% of people reported decreases of services available through syringe services programs because of the pandemic, have combined to cause this explosion, and it is disproportionately affecting blacks and browns. >> dickerson: we have 20 seconds, what's the next step? what can be done? >> doctor: i'm working with the bipartisan policy committee. i want to applaud congress for combining their mental health and addiction task forces. we need to ramp up teleservices, which came about because of covid, which is the silver lining

in terms of making services more available. there is hope, but we've got to pay attention to it. >> dickerson: dr. adams, thank you so much for being with us today. we'll be back in a moment. stay with us. [music stops] and release. [deep exhale] [fast upbeat music resumes] [music stops] ♪ we've all felt this gap. the distance between what is, and what could be. while he's tapping into his passion, the u.s. bank mobile app can help you tap your way to your savings goals. without missing a beat. so, you can feed his passion. ear plugs not included. ♪

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cbsnews.com. reporting from the broadcast center in i jericka duncan. >> announcer: this is the "cbs overnight news." >> good evening and thanks for watching. america's covid recovery is being threatened by a summer surge. hospitalizations and deaths are up nationwide. the highly contagious delta variant is giving new urgency to the country's vaccination push. but that's lagging, seven months after the first shots, only 49% of americans are fully vaccinated. we begin tonight with cbs's lilia luciano in lous angeles. >> reporter: that's right.

less than half of americans are fullch vaccinated and that's just not