Highest in the nation. Demonstrators even showing up at some of these officials homes. They can protest, but the sad truth is there is no denying what is happening in idaho when you see the numbers and also what is happening in so many other states. New restrictions are coming. Lets get to cnns alex field. Shes live outside of Field Hospital in providence, rhode island. Alex, whats happening there . Look, kate, rhode island is a small but densely populated state and it now has a big problem, it has the designation of the highest rate of new cases per capita in the nation. Hospitals so strained they had to open two Field Hospitals in providence with a capacity of some 600 beds. Cases are climbing in the state even as its on a twoweek pause. Further restrictions are not off the table. Similar story across the country reporter as new coronavirus cases spread rapidly across the country, some states are shifting to crisis mode once again, as intensive care units fill up with patients. What we do now is literally a matter of life and death for many of our citizens. Were experiencing a surge lying weve never seen. Reporter among those with stayathome orders in place, california, michigan, north carolina, where the governor is enforcing a 10 00 p. M. Kerr few. We will do more if our friends do not improve, and that means additional actions involving indoor restaurant dining, shopping and retail capacity. Reporter the virus running rampant with the u. S. Recording more than 215,000 new cases tuesday. Here in rhode island theres a 9. 4 daily Positivity Rate and the nations highest new average of coronavirus cases per capita. Health officials treating patients inside this Field Hospital in providence. More than 104,000 people nationwide are hospitalized with the virus, a dangerous record. President elect joe biden outlining a Coronavirus Response p plan for his first 100 days in office. As a country, weve been living with this pandemic for so long, were at risk of becoming numb to its toll on all of us. Reporter his top three goals, safely getting more children back into classrooms, promoting widespread mask wearing and distributing vaccines to at least 100 billion americans. Its going to take some time but im absolutely convinced that in 100 days we can change the course of the disease and change life in america for the better. Reporter tomorrow an fda panel meets to consider whether the first vaccine candidate will be granted emergency use authorization in the United States,izati states, a decision expected this week. We do feel preliminarily the success cry tier kiteria had be reporter but in the meantime dr. Anthony fauci said its important to accept the reality of the pandemic. There are a substantial portion of the people who still think this is not real, that its fake news or that its hoax. Its extraordinary. I have never really seen anything like this. Weve got to overcome that and pull together as a nation uniformly with adhering to these Public Health measures. Next couple of months absolutely critical as we all know too well. Certainly, kate, you heard hhs secretary alex azar sounding optimistic about the volume of doses we should be getting in the states in the next few months. Hes also telling cnn today he has met with the Biden Transition Team and he said there will be a smooth transition process. Kate . Alex, thank you very much. Joining me right now is dr. Celine gounder, former new York City Deputy Health commissioner and member of the biden transitions covid Advisory Board. Good to see you again, doctor. Thank you for being here. 100 million shots in arms in the first 100 days. How much does this depend on what the Trump Administration does in the next 42 days to pull off that goal . It is highly dependent on whats happening in the interim between now and january 20th. Its not just about ordering vaccines and paying for vaccines. You then now need to figure out how are you going to transport, deliver, track that entire supply chain . Who the staff are going to be providing these vaccinations, where is that going to happen . And how do you track all of that . Thats a huge system Information Technology challenge, too. Theres a lot of steps that go between having an emergency use authorization for a vaccine and getting those vaccines into peoples arms. Just as a matter of point to clarity, is the goal 100 Million People getting a shot or 50 Million People getting both doses in 100 days . Yes, its 50 Million People getting both doses for a total of 100 million doses in 100 days. Do you think the president elect should be the first person to get a shot when the vaccine is approved . I think that the president elect should be among the first who are vaccinated. He is about as critical of an infrastructure worker as they come. I think it would also demonstrate a huge vote of confidence in the fda process, in the safety and efficacy of the vaccine. This is an approach has been used in many different vaccination campaigns where respected elected leaders and others are vaccinated in front of tv cameras really to be an example to the rest of the public. Yeah, i asked because thats exactly what israeli Prime MinisterBenjamin Netanyahu has said, hes going to be the first person in israel to get the vaccine to serve as an example. Do you know where the conversation if that conversation has been had with the president elect about being first . I dont know about whether he would be first, but i certainly know the president elect, Vice President elect and others said they would be vaccinated in front of cameras so people can understand this is truly a safe and effective vaccine. We learned from the uk this morning that two Health Care Workers who were vaccinated had suffered allergic reactions. And now as a result the uk is advising folks, and the way they put it is advising people with a significant history of allergic reaction to vaccines, medicine or food to not get vaccinated. What does that mean to you, doctor . When we do these clinical trials, we start by studying the vaccine in the most straightforward of populations. We usually exclude, for example, people who had severe allergic reactions, we exude pregnant women and children. Those are groups in which this has not been studied. So i think even the initial guidelines were even before these reactions occurred were that people who have a history of severe allergic reactions should wait on getting n vaccinated and if they get vaccinated, wait and have an epipen at hand in case they do have a reaction because we certainly dont have as much information among those people, how the vaccination will play out. The fdas vaccine adviser is meeting tomorrow to make the decision if theyre going to recommend approval for the Pfizer Vaccine. With the data thats out there and positive response that we have really heard across the board, do you think its a foregone conclusion, is it a foregone conclusion in your mind it will get approval . Based on the data i have seen, some of which has also been released to the public, the data looks very good. Even after one dose of the pfizer fx, that data is more preliminary, but even after one dose you see quite a robust immune response and after two doses, it does seem to be very efficacious. I think one thing people should be aware of is the side effects are a bit more significant than you might have with a flu shot. I think people should be prepared to stay home after they get vaccinated for a day or so. You might have a fever, headache, that sort of thing. But these are not severe reactions and theyre certainly nowhere near as bad as what you would suffer if you actually get the coronavirus itself. And real quick, the top scientific adviser to operation warped speed, he said he will be meeting with the Transition Team tomorrow. I assume that includes all of you as well on the covid Advisory Board. What is the biggest question you have, doctor, for him and the trump team . I think really getting more details on how theyre planning to do distribution. Are you not satisfied with whats been put out there yet . We certainly dont have enough detail yet. I mean it is a process of handing over this information and reading us in. So i wouldnt say im not satisfied, its a process. Its getting under way in a very major way at this moment. Thank you, doctor, i appreciate your time. Coming up for us, 50 states and 50 different Vaccine Distribution plans. Well talk to michigans chief medical executive about how the rollout is going to go in that state. Do they have what they need and information they need . And joe biden is calling on a new cabinet position focused on civil rights. Is that going to happen . Were carvana, the company who invented car vending machines and buying a car 100 online. Now weve created a brandnew way for you to sell your car. Whether its a year old or a few years old. We wanna buy your car. So go to carvana and enter your license plate answer a few questions. And our techno wizardry calculates your cars value and gives you a real offer in seconds. When youre ready, well come to you, pay you on the spot and pick up your car, thats it. So ditch the old way of selling your car, and say hello to the new way at carvana. The most massive vaccination effort in a century. That is a task at hand for the Trump Administration and governors and state Health Officials across the country and those efforts could start in just a matter of days. Heres one of the federal officials in charge of logistics. From pfizer at kalamazoo, trucks will roll right out of there to the nearest airports and we will begin distributing vaccines across the entire country within 24 hours the trucks roll and basically within overnight, 48 hours, vaccines arrived at the locations that theyve been designated by the jurisdictions and administration of the vaccine can occur immediately afterward. Joining me now is dr. Jen nay calhoun, michigans key executive, key person in the rollout of the vaccine in michigan. Thank you for being here. You heard him say trucks will start rolling 24 hours after approval and talking about rolling out of a facility in kalamazoo, michigan. Does that mean your state will be getting doses earlier than others . We like other states identified pro positioned hospital sites so we know exactly where all of the initial vaccines will be going. Weve been working with those hospitals for weeks and we understand where theyre going and how theyre going to administer those vaccines. Can you lay out i want to get to those plans because theyre critical, as you know better than anybody. Do you know how many doses the state is going to be getting in the first shipment . We still dont know unfortunately. That still remains to be scene. What we do know is that we know where they will be going. We know the hospitals. We know the hospitals that have that extra special cold storage capability needed for the Pfizer Vaccine but we still to this date dont know exactly how many michigan will be receiving. I can imagine you can make plans as you are for where they would go, where the key positions would be, but how really if you dont know fsh if you havent heard or dont know how many doses youre getting, how do you make plans . It seems almost impossible, especially if youre expected to be potentially getting these doses, the first shipment next week. We had to be flexible throughout this entire pandemic response. So we have gotten some estimates that change sometimes multiple times a week from the federal government but we are planning for bestcase scenario and i think we will be ready, depending on how many vaccines we get whether its very few or a lot, our hospitals will be ready to start vaccinating day one. It how many doses did you request . So were asking as many as they can ship to us, quite frankly. He want to get this vaccine out as quickly as possible. We know it will be available in very limited amounts in the beginning. But the more we can get, the more we can get it out to the general public eventually. Why is the number fluid . You have to know, at least in this moment, the static number of Health Care Workers there are, static number of people in nursing homes, why is the number fluid . At the state level we have those numbers. I dont know how many i will be receiving from the federal level. Again, thats not what im in charge of. It depends on the manufacturer as far as i know. Thats what were waiting to hear from the federal government. You have around about a population of 10 Million People in the state of michigan. What is the number you requested, if you can give us an estimate . So our goal for 2021 is actually to vaccine 70 of michigans Adult Population so that means a lot of vaccine, obviously. Again, well be learning as we go along as far as more about how this vaccine works and especially if we can use it in pregnant women and children, which we know at this point we dont think we would be able to. How would people learn in your state when its their turn, when they can get in line and schedule to get a shot . We have a Massive Communications campaign that weve actually been rolling out for weeks, giving people information about the Vaccine Development process, making sure we understand that its safe, that its effective. We have a website. We have multiple stakeholder groups as well making sure people have the information they need so they can start planning for how they will get a vaccine when its their turn. Is there a website they can go to . I have a lot of family in michigan. Is there a website they should be going to to see where they are in line . I feel like that might be possible since you dont know what youre getting. We have a michigan, covidmichigan. Gov and thats where they should be going to. Who will be getting the vaccine first . It will be our Health Care Workers, and were prioritizing our nursing facilities and longterm care facilities and thats what we know across the country theres been a lot of death unfortunately. You have a lot of of work ahead of you. Thank you very much, doctor, for coming in. Well check back in. Still ahead for us, cnn learned the names of two more picks for joe bidens cab nilt. I have a secret method for remembering all my hr passwords. My boss doesnt remember approving my time off. Lets just. Find that email. The old way of doing business slows everyone down. With paycom, employees enter and manage their own hr data in one easytouse software. Visit paycom. Com for a free demo. Pepto bismol coats and soothes your stomach for fast relief and get the same fast relief in a delightful chew with pepto bismol chews. Its moving day. And are doing the heavy lifting, jess is busy moving her xfinity internet and tv services. It only takes about a minute. Wait, a minute . But what have you been doing for the last two hours . Delegating . Oh, good one. Move your Xfinity Services without breaking a sweat. Now thats simple, easy, awesome. Xfinity makes moving easy. Go online to transfer your services in about a minute. Get started today. Cnn is learning more about the two latest picks for joe bidens cabinet. The president elect expected to nominate ohio congresswoman marcia fudge to lead the house of urban development and meanwhile the agriculture secretary is expected to be former Iowa Governor tom vilsack. Were in wilmington with much more on this. Jessica, what are you hearing about these latest expected nominations . Yes, kate, right now our sources are telling us about two of the people selected to fill the slots. Lets start first with tom vilsack and the agriculture department. Were told by sources biden is expected to top vilsack, former eye ka governor, to serve as agriculture governor and as you mentioned, he was in this department before. So hes no stranger what to do, how it can be run and hes no stranger to joe biden. He has a long relationship with biden, biden leaning on their relationship, his Comfort Level with someone he knows. Vilsack was one of his earliest supporters in iowa. He and his wife campaigned very aggressively for him throughout iowa through the campaign trail. Marcia fudge, were told, is expected to come the housing of urban Development Agency secretary, and she is, as i said, an iowa congresswoman and that is notable because biden has been hesitant to pull anyone from congress. The congress has such a strong swing majority and they still dont know what will happen in the senate. And fudge is likely to be the exception, as shes considered in a very safe seat for democrats. Thats what were looking at with those two potential nominations. Later this afternoon, right here in wilmington, delaware, president elect biden will be formally introducing his pick to be secretary of defense lloyd austin, a retired army general. He will be here with biden in wilmington. There has been some pushback though on the hill from members of their own party on a potential waiver. Austin would need a congressional waiver because hes only been required for four years from the military. Frau law mandates you need to be out for seven. Those waivers are quite wear. There was one given to James Madison during the Trump Administration. Well see how that plays out on the hill but we will see them later this afternoon in wilmington, kate. Absolutely, jessica. Thank you. Joe biden is also facing new pressure on the makeup more pressure and new pressure on the makeup of his cabinet. The naacp asking the president elect to create an entirely new cabinet level post. The civil rights star and adviser to the president focused exclusively on racial justice, diversity and equity. The head of the naacp met with the president elect and his