Residents of William Reid Apartments rest for a few minutes after receiving the first dose of the COVID-19 vaccine at a pop-up vaccination site in the NYCHA housing complex in Brooklyn, New York City, U.S., January 23, 2021. Mary Altaffer/Pool via REUTERS

US President Joe Biden on Tuesday moved up the COVID-19 vaccine eligibility target for all American adults to April 19, but warned that with new virus variants spreading “we’re still in a life-and-death race” with the coronavirus.

Biden directed states to widen the vaccine eligibility to people 18 or older by April 19, two weeks earlier than the May 1 deadline he announced previously. No COVID-19 vaccine is authorized yet for children under 16, although testing is underway.

Most US states had already said they would open vaccines to all adults by that new target date.

“What we do now is going to determine how many people we’ll save or lose in the month of April and May, and June, before we get to July Fourth,” Biden said at a White House event.

More than 80% of teachers and school staff had received at least one vaccination shot, Biden said, but noted that variants of the coronavirus are spreading and generating a rise in cases.

“We aren’t at the finish line. We still have a lot of work to do. We’re still in a life-or-death race,” Biden said.

He said that by no later than April 19, every adult 18 or older will be eligible to be vaccinated.

White House spokeswoman Jen Psaki said Biden’s announcement had confirmed for the public that “everyone is eligible around the country.”

This means Americans no longer need to check with state and local websites to see whether they qualify, she said.

“No more confusing rules,” said Biden.

Vaccine supplies and efficiency in getting shots into arms have increased significantly in the race to get more people inoculated as more contagious virus variants circulate.

Biden spoke after touring a vaccination site at Virginia Theological Seminary in Alexandria, Virginia.

“Governors — Democrats and Republicans — are working with (the White House COVID-19 response team) to accelerate the vaccination program,” White House chief of staff Ron Klain said on Twitter.

When vaccine doses were in shorter supply, states initially limited distribution to high-risk groups, such as the elderly and front-line healthcare workers, and then gradually opened up vaccines to other age and at risk groups.

Upon taking office in January, Biden set a goal of delivering 100 million shots into people’s arms within his first 100 days in office, which is the end of April. That goal has since been doubled to 200 million.

COVID-19 has killed more than 555,000 people in the United States — the world’s highest coronavirus death toll. But more than 167 million vaccine doses have been administered in the country. Four in 10 Americans have had at least one vaccine dose, a rate far ahead of most countries.

The authorized vaccines from Moderna and Pfizer/BioNTech both require two doses, while Johnson & Johnson’s is a one-shot vaccine. The Pfizer vaccine is authorized for those aged 16 and up, while the other two can be given to adults age 18 and older.

US vaccine distribution began haltingly under Biden’s predecessor, Donald Trump.