Clarity as Steve Kornacki gives us his perspective. Thanks for starting your week with us im frances rivera. New hope the u. S. May soon see the approval of a coronavirus vaccine. Cases and deaths continue to surge. As of today there have been over 14. 5 million infections and over 282,000 fatalities according to an nbc news tally. The latest data comes as most of california enters a new lockdown heres nbcs meg fwan fitzgerald reporter valerie, good morning. Millions of californians are waking up to some of the most restrictive measures weve seen during the pandemic while they do all they can to stop hospitals from being overwhelmed. 33 million californians, hours away from a Lockdown People told to stay home, stop gathering, no more inperson dining and reduce retail as hospitals try to save people in crisis bottom line is if we dont act now, our Hospital System will be overwhelmed. Reporter fear turning to frustration for restaurant owners. Im losing Everything Everything i own is being taken away from me and they set up a Movie Company right next to my outdoor patio. And for so many other workers forced to close down, desperation. Weve been taking one for the team and theres nothing left to give like nothing left. Reporter in some parts of Southern California, defiance. The sheriffs of orange and riverside counties saying they wont enforce the states new stay at home orders. Riverside cumulative Sheriffs Department will not be black mailed, bullied in the enforcement of the governments orders. Reporter even as the virus surges to unprecedented levels, conflicting messaging and patch work enforcement causing confusion. It adds confusion to whos right and whos wrong. Desperate pleas for americans to take this seriously i want to be very frank to the american people, the vaccines critical but its not going to save us from this current surge. Only we can save us from this current surge and we know precisely what to do. Across the nation, no regions spared. More than 100,000 americans now hospitalized new orders out to contain the crisis eight states adding restrictions in the last week alone families like barbara zieman who lost loved ones know far too well how serious the virus is. The pain of losing her father will never go away. A lot more families will be in my shoes and it didnt have to be this way. Reporter Officials Say it takes two weeks to see the effects of new restrictions that are put in place here in Los Angeles County its been 12 days since Outdoor Dining was banned, so its likely we could see the effects of that by the end of this week. Meagan, thank you. President elect joe biden is already readying, i should say, his key allies to battle the pandemic the president elect will nominate California Attorney general Javier Becerra to lead the Health Department and roichelle wa len ski will lead the cdc. Lets get to nbcs tracie potts for the latest on stimulus talks. Time is running out for a new relief bill. Reporter theyre running out of time, frances the house is supposed to leave on the winter break this week. The Senate Next Week they are rushing to try to get this covid relief bill done. On the table is a 908 billion compromise that will deal with some of the most immediate needs, people who are hungry people who are facing evictions at the end of this month and millions, up to 12 million who could lose Unemployment Benefits the day after christmas. So those negotiations are on a fast pace. Also we are watching very closely the fda panel that meets on thursday to decide if the Pfizer Vaccine can be approved for emergency use. If so, theyre going to turn that around pretty quickly and try to get the vaccine out so people can start getting shots on friday. We have a vaccine but we will not all have the vaccine in our arms before may or june so we need to be very cautious and vigilant. I want to be very frank to the american people. The vaccines critical, but its not going to save us from this current surge. Only we can save us from this current surge. Reporter President Trump has announced that his lawyer, rudy giuliani, whos 76 years old, has tested positive for covid19 his age puts him in a high risk group. Hes been seen meeting recently with lawmakers in michigan, in georgia, in arizona in some cases without a mask the arizona Capital Times reports the legislature there is shut down after giuliani met with 15 current and former republicans just before the announcement that he tested positive. Now hes being treated at the hospital there in d. C. Tracie, thank you. This morning we are getting our first look at the Covid Vaccine arriving at hospitals in the u. K. And by this time next week the same thing could be happening here in the u. S. Heres sarah harmon with the details. Reporter frances, valerie, good morning this is a day that has been months in the making the vaccine is finally here, and on tuesday people across the u. K. Will begin receiving the very first doses, including here at st. Thomass hospital in london after much anticipation, theyre here the first doses of the Pfizer Vaccine have arrived in british hospitals. To know that they are here and we are amongst the first in the kun troy receive the vaccine and therefore the first in the world is just amazing. Im so proud. Reporter staff are working overtime preparing to give shots on tuesday the u. K. Has ordered 40 million doses, enough for 20 Million People but only 800,000 will be available next week. I dont have any concerns i have concerns about covid and i would rather have a vaccination than not. I want one as quickly as possible so i can get on with the rest of my life. Reporter meanwhile, in the u. S. The fda is considering emergency authorization for both the pfizer and moderna vaccines. The pfizer decision is expected on december 10th. Within 24 hours well ship to all of the states and territories that we work with and within hours they can be vaccinating. Reporter initial 40 million doses is expected in the next month. Were going to focus on those most vulnerable and those most on the front lines treating people with covid with the initial 40 million doses in the next month, then well progressively keep adding more and more people. Be thinking in the february march time frame youll see more general vaccination by next year well have enough for every american that wants it. Back in brittain more demand than doses the 94yearold queen expected to be among those vaccinated in the coming weeks, but she wont get priority treatment reporter now there have been logistical hurdles along the way. Initially the plan was to offer the vaccine especially to vulnerable nursing home and staff, however, transporting nursing home residents to these vaccination sites safely has proved a huge hurdle in fact, its thought the first people who actually get this vaccine will be people over 80 who already had in patient appointments at the hospital frances . Our thanks to sarah harmon with that report. A Covid Vaccination could be approved this week thats just the beginning. The next challenge is getting the vaccines to rural areas. Dasha burns has more. Reporter hospitals and Health Departments are in overdrive preparing to roll out the Covid Vaccine as soon as its approved. The race is on to get the ultracold freezers in order to store the Pfizer Vaccine and make a plan for distribution its a problem for rural states like south dakota. Our team spent some time there and got exclusive access to one hospitals Storage Units and their plan to vaccinate the rural population in south dakota hospitals hit hard. Were definitely in a crisis situation. Reporter Rural Regions facing a lack of access and resources now faced with the daunting task of distributing a vaccine. For sanford health, the Largest Health system in the region, cold storage is the key. Here in sioux falls, south dakota, they have two freezers one for the fooifz and one for moderna. They have eight ultracold freezers strategically placed to reach the rural communities. Each costs 10 to 15 million and can hold 75,000 doses. Theyre double doors. The other door with the latch on it, you can lock this and then inside here is where the actual shelves store it you see its very cold reporter how critical z having this technology it gives us a lot more control how we can distribute and vaccinate patients. Reporter dean webber is responsible for getting the vaccination. This is a considerable effort to distribute the vaccines our drivers put on 11,000 miles a day. Thats Something Like 3 million a year long distances. Reporter but not all Rural Health Systems can meet the challenge. Worries about storage in kansas. There are only about 10 different hospitals in the entire state that have that capability. Reporter and distribution in wisconsin. There will be hubs around our state and well partner with our state and our county Health Departments to distribute those. Reporter respiration with a dose of hope. Things could look very different come spring and summer its been a long haul. These people in the hospital have been working long shifts, really hard. Reporter in many of my conversations with doctors, nurses, front line workers across the country, when they Start Talking about the vaccine, people often become emotional after so many months of feeling helpless in the face of this virus. Theres finally some hope around the corner and a light at the end of the tunnel. Frances . Dasha, thank you. A noreaster brought heavy rain, strong winds and snow to parts of new england over the weekend. More than 20,000 people lost power in massachusetts, maine, and new hampshire. By late sunday power had been restored to more than 50,000 people in the region central maine power, which accounts for many of the outages in that state, said their crews are working as quickly as possible to restore power to customers. Lets hope they get that, too. Lets check in with nbc meteorologist janessa webb to see whats tracking next good morning good morning, ladies. That entire storm system has pushed off shore the southand southeast is dealing with rain. West virginia to virginia, mountainous areas dealing with snow were watching santa ana winds picking up across Southern California tuesday afternoo for most areas we feel like the temperature in the low 30s texas, san antonio, 71 in the 60s pretty quiet start to the week but no more activity ill show you that coming up. Thank you, janessa. Coming up, inside the historic day 4 icon. Wearing masks, the discussion entresto helped people stay alive and out of the hospital. Dont take entresto if pregnant; it can cause harm or death to an unborn baby. Dont take entresto with an ace inhibitor or aliskiren, or if youve had angioedema with an ace or arb. The most serious side effects are angioedema, low blood pressure, kidney problems, or high blood potassium. Ask your doctor about entresto. Or high blood potassium. But these days, im not getting out as much as id like to. Thats why i take osteo biflex. 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Get dishes done faster dawn powerwash dish spray. Spray. Wipe. Rinse. Leading the news, the congressional medal of freedom was awarded today. He was the winningest wrestling coach in the university of iowa history. Dan gable. He won two National Titles at iowa state university. Now a hot button issue cdc is recommending universal facemasks. Heres nbcs kathy park. Reporter the cdc is double willing down on facemasks again, urging americans to wear them at all times when theyre not home, both indoors and outdoors, adding that its most important when physical distance of at least six feet or more cannot be maintained, but Wearing Masks is still a divided issue. The debate boiled over on cnbc mirroring the back and forth still happening all across the country. The difference between a big box retailer and a restaurant or frankly even a church are so different its unbelievable. I disagree. I disagree i disagree. Youre wavering a mask. You can have your thoughts. Its science. In worcester, massachusetts, theyre going a step further to slow the spread. In addition to mask wearing, theyre recommending that residents avoid shopping. A business like mine, it will kill us. It will definitely well go out of business. Reporter the citys medical director fears another surge if people dont assess the risk before leaving home. How bad is it in worcester now . We are really in the teeth of this and we havent even seen what we expect to be a spike of all of the thanksgiving activities that happened were kind of modeling that, were going see that around december 15th. I can only imagine where were going to be by the end of the month. Reporter in el paso, one of the hardest hit places in texas, the mayor says 55 of cases came from people who shopped at large reta retailers. While retail rules vary from state to state, the cdc classifies indoor shopping as a higher risk activity encouraging people to buy online, Curbside Pickup and Outdoor Markets instead. 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