captioning sponsored by cbs >> dickerson: i'm john dickerson in washington, and this week on "face the nation," u.s. health officials say the war against covid-19 has changed, and the u.s. is back in the top spot when it comes to the highest number of new infections worldwide. along with it's surge in new cases, covid anxiety is also making a comeback this summer. new c.d.c. data shows vaccinated people who have caught the delta variant may be just as contagious as non-vaccinated people. and more health restrictions may be ahead. the delta variant now accounts for more than 80%

of covid cases in the u.s. vaccines still offer the best protection against severe illness and death, and the pleas for holdouts to get the shots are getting more dire. >> biden: this is an american tragedy. people are dying and will die, who don't have to die. if you're vaccinated, you don't have to die. >> dickerson: we'll talk to dr. anthony fauci and former f.d.a. commissioner dr. scott gottlieb. and we'll ask dr. sharon alroy-preis, the top health official in israel, what her country has learned from their vaccine campaign that can help the u.s. then...america's economy is moving ahead, but there are troubled spots there, too. inflation is rising, and the housing eviction moratorium has expired, and now millions could lose their homes. we'll talk with neel kashkari. plus...infrastructure. >> biden: a fancy word

for bridges, roads, high-speed internet, clean drinking water. >> dickerson: the president is putting the finishing touches on a $1 trillion bill, but there is still a long way to go. we'll talk with west virginia democratic senator joe manchin. it is all just ahead on "face the nation." ♪ >> dickerson: good morning. and welcome to "face the nation." there is good news and bad news on the pandemic. the covid-19 delta variant is even worse than we thought, making it clear that this pandemic is far from over. but the reality appears to be sinking in: nationally, vaccination rates are up by 30% for first doses in the last week. but we still have a long way to go. our coverage begins with senior national correspondent mark strassmann. >> reporter: good

morning, john. more than half of america's counties are now considered high transmission areas for covid. new daily cases are now higher than they were at this point last summer. and yet many americans still cut loose as though this pandemic is over. chicago's annual four-day musicfest for tense of thousands of people, many unmasked. on thursday, 90% of concert-goers showed proof of vaccination, 600 people without paperwork were turned away. the worry: this new delta variant can spread like chicken pox. even vaccinated people can get it and give it. >> we're in the midst of our fourth surge in the city, and that is being driven by the delta variat. >> reporter: at two san francisco area hospitals, at least 233 staff members tested positive for the virus over the last month.

75% of those infected had been vaccinated in america's most vaccinated city. nationalecity. nationally, 97% were unvaccinated. in these 43states, the c.d.c. predicts covid deaths will likely rise. >> to those unvaccinated, shame on you. >> reporter: one response: vaccine mandate at netflix, google, facebook, morgan stanley, and 600 universities. all former and current military members get a vaccine or face weekly testing. fear is motivating. almost five million people got shots in the last few weeks. many in hot spot states with low vaccination rates, like louisiana, arkansas, and mississippi. >> all of my doctors have basically told me i should get it, so we're here.lyent,he

depth of denial. >>why are we testing healthy people to find out if they might be infected? >> there will be no restrictions and no mandates in the state of florida. [applause and cheering] >> reporter: his state set a record on friday for the highest number of new cases since the start of the pandemic. in texas, the governor's anti-mandate executive order says texans have mastered the safe practices that help to prevent and avoid the spread of covid-19. on friday, texas reported more than 13,000 new cases, its highest single-day jump in almost six months. >> we have been here before. we have seen the movie over again. and what was once unpreventable, today it is preventable. >> reporter: these protests are back because masking is back. new mandates in places like washington, d.c., kansas city and atlanta, regardless of vaccination

status. no one likes wearing one; millions still refuse. >> i don't agree with it because it takes away my individuality. >> reporter: now some good news: almost a half million more americans got their first shot yesterday. pthe c.d.c. says that is, without question, the surest way out of this pandemic. john? >> dickerson: mark strassmann, thank you. we go to president biden's chief medical advisor, dr. anthony fauci. >> doctor: good morning, john. >> dickerson: i would like to start with the new thinking on covid-19, that was part of the c.d.c.'s decision to change its mask guidance. we've been talking about the delta variant for a while, but what is new in your understanding? >> doctor: a confirmation of how easily it spreads from person to person. also, we found that individuals who get breakthrough infections, namely people who are vaccinated who might get infected, almost

invariably they get either minimal symptoms or no symptoms at all. but since no vaccine is 100% affective, you're going to see breakthrough infections. but what we've learned that is new, john, in answer to your question, is that when you look at the level of virus in the nasal pharynx, it is quite high and equivalent to the nasal pharynx of unvaccinated people who get infected. that is very different from the alpha variant. in the alpha variant, the level of virus was extremely low in the vaccinated people compared to the unvaccinated people. not so with delta. so we know that vaccinated people who get breakthrough infections can spread the virus to other people. >> dickerson: sticking on that point, we have always known that it was not 100% affective when you're vaccinated. so among the breakthrough

cases that we always knew would happen, in every breakthrough instance, is it true that the ability to spread is high? or is it a smaller subset of the breakthrough cases in which this discovery was made about the ability to spread? >> doctor: well, the phenomenon of the ability to spread is clear, we're seeing that very, very clearly in a number of situations. when you look at the data we have gotten from a single study so far -- and other studies are coming out -- you have a availability, but the mean or average level of virus in the nasal pharynx is really quite similar, almost identical on an average. so you would think, obviously, when you have biological variability, you will have some people high and some people low, but the medium will be very similar to the unvaccinated person. which is troublesome. it tells you the potential

for transmission is there. >> dickerson: that's why the mask guidance because there are these cases in which it is possible to spread? >> doctor: right. the situation is if you get breakthrough infections in individuals who are vaccinated and they don't spread at all to anybody else, then you would not worry about if they went home to a vulnerable person in their household, children or an elderly person -- there wouldn't be any issue. but since we know now that (a) they can transmit when they get breakthrough infections, even though they have mi minimal symptoms or no symptoms, and we know the reason is that the level of virus is high, so you want to make sure they don't get infected. tht's the reason why and the fundamental basis for the c.d.c. modifying their guidelines saying if you're in an area of a high or substantial level of virus, namely a red or orange zone, when you're

in an indoor public setting, you need to wear a mask. >> dickerson: so people who say, i don't want to wear a mask, that is my personal decision. that's the way they see it. as you see it, what decision are they making by not wearing a mask? >> doctor: one of the issues that looms when you're dealing with this is that you understand people's feelings that they have the individual right to make their own decision. and i respect that, for sure. but the issue is, if you're going to be part of the transmission chain to someone else, then your decision is impacting someone else. it is not only impacting you. and you've got to think about it that you are a member of society and you have a responsibility. >> dickerson: let me ask you about context here. in the c.d.c. document, there was an expression -- someone wrote: "the war has changed based on these new findings." but isn't the war the same, that there are pockets of the country that are not getting

vaccinated, and that's the big issue, and that hasn't changed despite what we have been talking about for the last four minutes? >> doctor: you're absolutely correct. we have 100 million people in this country, john, who are eligible to be vaccinated who are not vaccinated. we've really got to get those people to change their minds, make it easy for them, convince them, do something to get them to be vaccinated because they are the ones that are promulgating this outbreak. so you're absolutely correct. that hasn't changed. what has magnified the problem, john, is that we're now dealing with a virus that has an extraordinary capability of spreading from person to person. so when you super impose one on the other, you have a very difficult situation, a pool of unvaccinated people and a virus that spreads very efficiently. >> dickerson: looking at the massachusetts provincetown study that was a part of this mask guidance, we talked about the ability to transmit among those who are

already vaccinated, but it looks like the story of that study could also be that vaccines work. >> doctor: oh, absolutely. it is understandable how there could be kind of a dual or a mixed message from that study, but the predominant message is that if you are vaccinated and you get a breakthrough infection -- first of all, if you're vaccinated, you're much, much more protected against getting infected from someone who is unvaccinated. but the critical issue, john, is if you do get infected, the likelihood of your getting a severe outcome of the infection is very low. it is much more likely that you will be either without symptoms or minimally symptomatic. so the vaccine is doing what you want it to do: it is protecting people from getting sick. >> dickerson: there seems to be some evidence that the message is getting through. the total number of new vaccinated reported in the

last seven days is the highest since the week of july 4th. in low vaccination areas, the vaccination uptake is high. (a) why is that happening? (b) when did you think we'll see the dividends from those vaccination? >> doctor: i think it is happening for two reasons. i think that, first of all, we're trying as hard as we can to make it as easy as possible for people to get vaccinated, using trusted messengers. i think when people realize and look around them and see that in the area where they live, the virus and the infection is escalating considerably compared to areas that have a high degree of vaccination. so it is sort of common sense. but i'm also gratified by seeing that even people who in the beginning were reluctant to promote vaccination are now doing it. people like republicans, like stev steve scalise, asa hutchinson out there beating the bushes,

encouraging people to get vaccinated. i think that is was the i think that is was the happening now. >> dickerson: dr. fauci, thank you so much for helping us go through this. "face the nation" will be back in a moment. and if samples are available. effects of botox® may spread hours to weeks after injection causing serious symptoms. alert your doctor right away, as difficulty swallowing, ...speaking, breathing, eye problems, or muscle weakness... ...can be signs of a life- threatening condition. side effects may include allergic reactions... ...neck and injection site pain... ...fatigue, and headache. don't receive botox® if there's a skin infection. tell your doctor your medical history, muscle or nerve conditions... ...and medications, including botulinum toxins, as these may increase the risk of serious side effects. most patients may pay as little as $0 for botox®. so, text to see how you can save. botox® has been preventing headaches and migraines

before they even start for 10 years. so, ask your doctor about botox® today. ♪ >> dickerson: the senate is reconvening this afternoon to resume consideration of a roughly $1 trillion infrastructure bill. one of the democrats leading the bipartisan negotiations is senator joe manchin of west virginia. good morning, senator. >> senator: good morning, john. >> dickerson: this isn't just an infrastructure bill. the president said this signals to the world that democracy can function. so it has a lot on its shoulders -- >> senator: it sure does. >> dickerson: what are the next steps for this to become law? >> i think it is 999.1% done. we want to be done by thursday. we want to move on, okay?

>> dickerson: but it is not just the senate that speaks. the house also has a role? >> senator: oh, yes. but i'm saying it moves on from the senate. >> dickerson: for it to become law, it is linked to the budget bill. do you not see that it is linked together? >> senator: i have always believed that everything should rise or fall on its own merits. you just said something that the president of the united states tells the whole world -- this is the president's bill, all of our bill. there is not an infrastructure need in the country that has an "r" or "d" on it. >> dickerson: but the president also has other ideas about the country, and they're all contained in this other budget bill. >> senator: i understand. >> dickerson: and nancy pelosi has said only when the senate passes this bill will we let this infrastructure bill through -- >> senator: i would never, ever try to advice speaker pelosi on how she

runs the house. i think she does a marvelous job. but the bottom line is: we have a bill that 80% of the public -- we have a bill thasery democrat and republican should be supporting, the infrastructure bill -- it should fall or rise on its own. >> dickerson: but you're saying that the house should pass their infrastructure, and then you go through the process and the president votes on it? they shouldn't hold it up? >> senator: i would not think that that would be the best to do for the public -- we're trying to sure the whole country we're back and we can do things in a bipartisan way. we don't expect to do the next bill by bipartisan, it is strictly a party-line vote. let's look at the whole bill. don't forget, we've got inflation. we've got a $28.6 trillion debt. all of this should be considered before we just jump in. >> dickerson: before we

get to that budget bill, the first test is if republicans and democrats can work together. it seems like the second test of democracy is this three-legged race with liberalse manchin sign on to a budget reconciliation that bernie sanders also agrees with. >> senator: it is all about compromise. we've been working on this for six weeks. and we have finally come down to the last day or hour to get it finished. it takes compromise. i respect my leagues who believe something a lot different than i do and i'm willing to listen and learn. if we can find that compromise, we'll find it. >> dickerson: alexandria ocasio-cortez, one of the leaders of the progressive movements in the house, says she has 10 progressives will who block infrastructure unless you in the senate will pass this budget bill? >> senator: maybe you'll have 15 or 20 republicans who will see a good bill,

who say, my gosh, i like this, it takes care of my transportation, it is the greatest jobs bill we have ever had, itive to ten years and gives you total growth each year to try to stimulate the economy. yot -- there was a haster bill -- >> dickerson: only republicans can vote. >> senator: i'll take a win wherever i can get it. >> dickerson: let me ask you about this budget bill. it has inside of it a lot of the president's priorities. it is clocked in at $3.5 trillion. is it the cost or paying for it -- >> senator: they're saying it is all paid for. if it is all paid for, you look at it in a different light. there are a lot of great things in there, but you get to the point like you do in your private life: what can you afford to pay for. i never voted for the tax cuts.

i complained to chuck schumer, and he has been grade about trying to move this infrastructure bill right now. he has been pushing this, let's get a bill done. on the other bill, i said, you're going to make adjustments to the tax e competitive? >> dickerson: in other words, are taxes raised so high on businesses that they go to another country? >> >> senator: ly. >> senator: exactly. we have to be careful on all of that. >> dickerson: you can find to ways to pay for things that are fuzzy. there are other things that need to be worked out. the environment is one of them. >> senator: sure. >> dickerson: what concerns you about the environment? >> senator: my concern is being realistic and practical about what is going on in the world. in the next 10 years, 10% of the pollution is going to come from one country, china. there are 6600 operating, and none in america.

they're making you think if you get rid of all of the coal-fire plants, it basically solves the pollution. it doesn't. >> dickerson: it is a big signal for the rest of the world -- >> senator: the rest of the world is not going in that direction. if we get out of the fossil fuel, fuel -- >> dickerson: they would argue the clock is ticking -- >> senator: and we're working. we know it does work. what we haven't been able to do is to be able to do it in a practical, profitable way, where it doesn't break the bank. once we lock that new technology, it is a game-changer. >> dickerson: can you come to compromise with the liberal members of the senate on the issues of the environment? >> senator: i would like to think so. >> dickerson: or is it going to be too hard -- >> senator: the reason i shot that campaign ad, that piece of legislation, they were asking us to do

things that technology hadn't development. once we were able to have a valued use for the carbon and make it into solid products, where we can use it for value added, it would be great. >> dickerson: do you think you can come to a compromise with senate democrats who said this is central to this bill passing? >> senator: i have always tried to come to compromise. i've always tried to finds the middle. if they don't want to find the middle, that's up to them. if you think you're going to eliminate your way to a cleaner environment, i totally disagree. you can e innovate your way to it -- >> dickerson: two other quick questions: the president said he wants to see some immigration provisions as part of this budget bill, including taking care of the dreamers. are you okay with that being included? >> senator: i'm a solid supporter of the 2013 immigration bill that passed. i'm still there. i think we should have a pathway to citizenship, we

should take care of the dreamers, and we need those workers legally in our system. >> dickerson: on this eviction moratorium, people could be evicted as soon as monday. how could the democrats in the white house and the senate fumble this? >> senator: there is $20 billion that is going out the door. we have to watch for fraud. if there is money there, we can help people. vaccinations are plentiful. the job market, we have nine million jobs that are unfulfilled. be careful, get vaccinated, wear your mask, get back into the flow and we should basically extend and help those who need it. >> dickerson: senator joe manchin thank you. you're going back to work. >> senator: i appreciate it, john. >> dickerson: we'll be right back with more. stay with us. when it comes to laundry,

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watch cbs in bay area with the kpix 5 news app. >> announcer: this is the "cbs overnight news." good evening and thanks for joining us tonight. america's covid recovery has hit a dangerous roadblock. today dr. anthony fauci warned this latest surge driven by the delta variant will get worse. infections are spiking across the country. hospitalizations and deaths are also rising. more shots are going into arms, but only about half of us are fully vaccinated. cbs's lilia luciano is in west hollywood with the latest. >> reporter: thank you, jericka. now l.a. county has 45% higher hospitalizations in just one