The fda, it will be the most reliable way to beat the virus. Certainly, the vaccine representing both our hopes and our fears and abc 7 News Reporter kris reyes spoke with a doctor about the worries that keep him up at night and kris, im really interested to hear what he had to say. He had a lot to say. The doctor is very confident about the vaccine calling it a bright light in this long, dark tunnel that weve been traveling through but he says distribution is far from a trivial matter and we need to prepare for dealing with plenty of complications. Neither the cdc nor the state of california are likely to get more granular than to say Health Care Workers and people over 65 in Long Term Care facilities are the first two groups. Reporter the question then becomes which Health Care Worker goes first . Take ucsf that is unlikely to get enough vaccines in the first shipment to cover the 30,000 staff. The complicated task deciding which employee gets the vaccine first and then falls on the hospitals management team. We then have to internally say okay, who goes first and second . What we will say, the group that will go first are people front line clinician, nurses, doctors, respiratory therapists, transporters. Reporter in a series of 24 tweets, he outlined concerns about the distribution of vaccines. The one that really keeps him up at night, misinformation. There will be thousands of people that get a vaccine and in a month or two they have a heart attack or month or two have a stroke or in a month or two come down with cancer. Has zero to do with the vaccines. That has to be clear. Reporter the doctor says he worries these stories will be used to discredit vaccines even after they have been approved by the fda and despite undergoing rigorous clinical trials. He says the messaging has to be clear and consistent from the president to local Health Officials. We got to have a really, really vigorous effective anti Misinformation Campaign and judging bier hy how we blew it masks, that makes me very worried. Reporter the u. K. Is the first country to approve a fully tested covid19 vaccine. Theyre expected to start giving out shots starting next week. We learned about the same scale as california with size and doesnt have the complexity to figure out how to do this across 50 states and 330 Million People but there will be lessons from the u. K. We can lean from. Another concern, he says we need a system to verify essential workers when its their turn to get the vaccine and this group, everyone from Police Officers to firefighters to Grocery Store workers to people like us, journalists. Hes reminding people to be patient and expect a lot of speed bumps. Kris reyes for abc 7 news. Kris, distribution is a major concern but does he worry what happens after the vaccine is administered . He does, dan. Think of it like this, some vaccines will require a second dose. There is no way right now we can be sure that people follow through with that and keep in mind, there is no National Health record to keep track of what got vaccinated. Bottom line, Health Officials have a lot to consider to make sure this runs smoothly. So complex. Thank you very much. Love hearing from the doctor, fascinating. In the south bay, newly released data shows hospitals there could exceed capacity in two weeks. The grim assessment is forcing administratiors to scramble to ensure there are enough beds, especially in hospitals serving East San Jose and south county where fewer than a dozen icu beds are now available. Hospitals throughout the county are working together engaging in phone calls at least daily to redistribute patients as needed to ensure that we are continuing to provide safe and high quality care. As tough as this is, there are signs of encouragement. This week Santa Clara County submitted the covid19 vaccination plan to the state detailing its plans for Community Engagement and Vaccine Distribution and management. Facilities have been constructed to property early store the vaccines, which will be first made available, of course, as we mentioned to front line Health Care Workers. Santa clara county is dealing with covid19 outbreaks at two of the Juvenile Hall facilities. Nine youth and four Staff Members have tested positive at the main facility in san jose at the boys ranch outside of morgan hill. The county says close contacts have been quarantined. Everyone at both facilitys is undergoing covid19 testing regardless of whether they were in contact with the 13 people infected. In the east bay now, oakland is shutting down its indoor Recreation Program for kids because of rising coronavirus cases there. Outdoor programs and services will continue. Oakland mayor libby schaaf spoke with us on midday live and said the recent surge has given pause in thinking about reopening schools. She knows restrictions are tough on a lot of people clearly and she sympathizes. Every day were asking people to make tremendous sacrifices and to believe that they are necessary according to science. Now, in the north bay sonoma countys Top Health Official says her county is doing better with the rate of new covid19 infections than many other california counties, but the coming weeks may test their ability to handle a growing number of y we continue to do better than most of the state slowing the virus which issed ed an adv as we face the most challenging part of the pandemic. Sonoma county is expected to stay in purple. The county Health Officer says increase testing and communities hardest hit key to helping limit the spread. Marin county is the only bay area region in the red tier, Everything Else in purple. County Health Officials looking at numbers say purple isnt a matter of if but when and could happen as soon as this week. As the only red county in the bay area, marin is an island at the moment. As Wayne Freedman found out, its an attractive one. Reporter it is the bridge painted orange, a Golden Gateway between the land of the purple covid tier in San Francisco and red in marin. Went from purple to a red region. Doesnt bother me. Reporter no . Its just the flu. Reporter here is the difference a tier can make. In San Francisco there is no parking for this landmark. In marin atavi visita goes. Youre not wearing a mask . No, we dont do that in montana. He needs to put a mask on, everybody does. Reporter especially here where visitors stop first. Its a legitimate concern for this doctor. The possibility of a destination is increasingly concerning. Reporter if you look at the infection rate for marin city, that is number 12. Infections have doubled in the past month and the county tiered red likely to go to purple in one to two weeks. We were orange a couple week ago and case rates are rising. Reporter marin county tests twice as many people as the state average and helps to identify cases early but people from out of town remain the unknown factor. At the sa usa lito bakery and cafe, she wonders constantly about outsiders bringing the virus here. Were very close to the city and more convenient for people to come from city to visit us for sure there is more concern here than elsewhere. Reporter unrealized thus far but trending. Wayne freedman, abc 7 news. Remember, you can many folfo same data we do how your county is handing the covid county by county tracking tool. Reporter joining us now is San Francisco chronical with hoa coronavirus is impacting the city. Great to have you with us. San francisco is on the verge of announcing tougher restrictions. What do you think or what are you hearing should change to bring down the rising case count . They are having a meeting as we speak and going over what they will possibly get from the state as early as tomorrow. All the bay area counties are looking toward sacramento to see what the big picture is going to be. Officials i talked to in San Francisco today, however, said that were going to see a tightening. Not as dramatic as the initial closedown because of the Economic Impact then. Back in march and april and may when we virtually shut down the bay area, people were still getting paychecks because of the government stimulus but thats running out so they have to balance economics, peoples livelihood and health. Thats tough. Well probably see more restrictions on outside dining, gathering in parks, maybe the next time to go to eat outside only if its your household cant mix with others and a tightening of people allowed in retail stores. Might see lines outside waiting to get in but they still got to keep the money flowing because people need their work and jobs and thats the big decision thats the balance thats trying to be struck between now and the next couple weeks as we go deeper purple. Such a tricky balance. San francisco has been spending millions every month for hotel rooms for the homeless during this pandemic. Your paper in the chronicle is reporting the city planned to close seven hotels where 500 people lived a few days before christmas. 10 million in state funding will delay that. How long can this last . San francisco has about 2300 People Living in shelters or on the streets. Remember, it wasnt long ago we had tents along the streets of the city and looked like something out of a third world country and a refugee camp. They put those people in hotels and its costing the city about 2 million a month in order to finance that but that is only going to be as good for as long as the feds continue to pick upmost of the tab, which theyre doing right now. The Emergency Services in washington is picking up about 80 of the tab. Now, concern in San Francisco as youve got 2300 people in hotels and no guarantee how long that federal money will go so the feds could say hey, in 30 days were out of money you got to go on your own and San Francisco will be in a tough bind but at 2 million a month, its a bargain politically rather than having the tents on the streets because that really upsets the neighborhood. They are betting on the federal money to keep coming until they can find a place to put people. Phil, finally, mayor london breed is talking about the financial problems facing muni and significant as you know, a budget deficit could lead to laying off roughly 20 of the work force. Were talking about 1,000 employees possibly losing their job. Service cuts would be next. Whats your sense on what muni can do to turn this around . Not much. Once again, they like bart and like golden gate transit and caltrain and a host of mass transit around the bay area depend on the word mask. Many, many people paying fairs. Its dropped between 90 and 95 and there isnt enough work to keep the bus and ferry lines running. It pot just muni. Muni will have a tough time getting through not just the pandemic in the next couple months but after that how many people will come back to work and how many people will work from home . So the ridership figures on the transit agencies are looking tough for a year or two or three to come and that is what theyre really worried about is when we come out of this, whats the bay area going to look like, the new bay area . Yeah, the impact after the pandemic will continue to be significant. Thank you very much. You can read phils column in the San Francisco chronical on sundays and wednesdays. Thanks. Coronavirus just doesnt take lives but livelihoods, as well. A look at the millions of dollars california is making available to help Small Businesses survive. With covid cases on the rise, whats it like inside bay area hospitals . Im Laura Anthony. Well hear from one nurse working on the front lines. Im Spencer Christian as our long dry spell continues, we may have increased fire danger in a few days. Ill have the Health Insurance shouldnt be one of them. At covered california, every plan is comprehensive, covering everything from Preventive Care to mental health. Covered california is the only place that offers financial help for Health Insurance, and now, theres more help for more people. And free assistance from experts to get more californians covered. Starting with you. Covered california. This way to Health Insurance. Enroll by december 15th. Welcome back. One in three Small Businesses are on the edge and may not survive the next three months without help. Thats the dire forecast with Small Business majority. Help at the federal level hasnt surfaced, abc 7 News Reporter david louie shows us what is being done at the state and local level. California is home to over 4 million Small Businesses, the pan dell mademic had the hardes on those owned by minorities and often dont have access to traditional lenders. Lenders and government has form the ed the California Rebuilding Fund. There is no better bet than on a Small Business owner who has, you know, pours their heart and soul and effort and time into making their business a success. Reporter 50 million has been raised to make Short Term Loans up to 100,000 that has to be paid at 4. 25 interest. A key provision is interest only is due during the first year. Deanna is an entrepreneur who had three Small Businesses prepandemic with 30 employees. Two of the businesses closed while she focuses on keeping the restaurant little skill let goi with a skeleton staff of seven. Its their families and keeping them employed and having a means to survive and put food on the table, which in turn, helps our neighborhoods and helps the greater community. So for me, thats my motivation. Reporter a loan is helping her weather the pandemic. Pacific Community Venture says mentorship is just as important. Imagine your town with your favorite restaurants or shops. Keeping main street businesses alive through the crisis is really a part of keeping our communities alive, as well. Reporter the California Rebuilding Fund has started receiving what it expects to be thousands of loan applications. David louie, abc 7 news. Statewide the number of hospitalized coronavirus patients hit a record today for the fourth day in a row. Some hospitals are nearing capacity now but as abc 7 News ReporterLaura Anthony found out most hospitals are managing well despite continued heartbreak. Weve been dealing with this almost a year now. Reporter a nurse is on the front lines of the fight to save those so sick they need to be hospitalized. It also means being there when the battle is lost. So weve had to deal with that quite a few times and its heartbreaking to just be around other human beings especially in their last moments of life and not be able to hold they are hand or lock at them in the eye. Reporter despite a surge in overall cases so far, most major hospitals in the bay area including john muir are weathering the storm. Weve been preparing on going for the last ten months and so we have absolutely known there would be another surge headed our way but at this point, its very, very manageable. Reporter ucsf, stanford and kizer report they, too, still have adequate capacity and right now are not cancelling most elective surgeries. Still, preparations are underway if things get worse. That includes this temporary waiting room outside the emergency room entrance so patience can distance safely. Despite the seriousness of the covid situation, this hospital and others want to remind people not to delay seek in care and dont be afraid to come in for oher potentially life threatening medical issues. We have been working at this for ten months and we are absolutely ready to keep everyone safe. Reporter he said he and his colleagues are ready to treat more Covid Patients but hoping for fewer. You have to look at the greater good right now. Multiple vaccines that should be coming out pretty soon, you need to seriously consider taking them because you have to protect the general public to get over this virus. Reporter in walnut creek, Laura Anthony, abc 7 news. All right. December is off to a dry start and it looks like it will stay that way for awhile. But it certainly is pretty out. Spencer has the we have the power to harness californias abundant wind and solar energy, but its not available all day long. Use less from 4 to 9 pm and we can protect california for generations to come. California has issued Health Guidelines for ski resorts during the pandemic to prevent crowding. Day of ski tickets wont be sold. You need reservations or have a season pass. Many ski resorts that opened last month already have these rules in place. Tahoe resorts are open but most have relatively small number of trails actually opening at this moment because of conditions up there so it could be more crowded if youre not careful, liz. It certainly doesnt look like that here, very dry, spence