Mentioned the trucks. They are critical. We are outside the pfizer facility. This is the loading base. We just saw this fedex truck. Fedex and ups is carrying the shipments, moving out of the bay. We know all morning fedex employees behind the scenes have been taking vials of vaccine from deep freezers, 60,000 vials in each freezer, 190 vials on a tray, putting them in a box filled with dry ice and loading them tonnon to the trucks. This is a key spot in the Vaccine Distribution network, and things are just going here for this massive logistical movement. Trucks will likely go the airports and distribution hubs and the vaccine deliveries will go to 600 locations across the country. Those are places like hospitals, pharmacies, cvs and wall greens. The deliveries will not begin until tomorrow morning. The bulk of the shipments starting on tuesday. But you cant understate how incredible this is. Less than a year since we first found out about the virus and now the vaccine shipments are on the move. It is an absolute medical miracle in so many ways. What do you know about where the doses of the vaccine are headed first . Reporter well, we know its the 600 locations across the country. Those are key, because thats when the vaccinations will be put into arms. A lot of those places have already received the things physically needed to vaccinate folks beyond just the individual doses. Those are things like syringes and alcohol swabs, operation warp speed says many of those things arrived on friday. The timing of this is interesting. Even though the fda emergency use authorization came a couple days ago, now the shipments are going out today to arrive on monday, because the folks at fedex and at u. P. S. Agreed told be best to have these arrive on a monday when the places will be more staffed up and ready do this is. This is a massive logistic movement. They have been doing dry runs. They emphasize this in large cases is what they were created for. Time sensitive shipments from outside of kalamazoo, michigan. You can see the workers putting the very temperature sensitive vaccines into those boxes as they make their way on that journey. Pete, thank you so much. Well come back to you as the trucks start moving this morning. And this is as weve said, all great, incredible news, but it can obscure the fact that these are the deadliest days of the pandemic thus far. Just yesterday 2,020 new cases, a record 108. 487 hospitalized and 2,378 people are dead. Hospitals are now overrun with patients. Cities across the country are running out of icu beds to put them in. Joining me now are the former Baltimore Health commissioner and a doctor from the Emory University field of medicine. This is an incredible Scientific Achievement were seeing this morning, and youve spent your entire career studying and developing vaccines. Did you think that back in january as you were looking at this Novel Coronavirus or in march that we would be at this moment right now where were seeing vaccines being shipped out and could be put into arms as soon as tomorrow . Absolutely not. It simply would have been ridiculous to think that back in january, but i think this is the product of not only what started in january but years of research and years of investing in research that created two things. Number one, the technology to do the mrna vaccines developed by investigators at the nih and other places but number two, the clinical infrastructure that really about i have been doing hiv research for many years. We rapidly pivoted to do vaccine trials. And i think that incredible Public Private partnership and collaboration of working closely with the community has us where we are right now. Nobody would have been expected us to be here right now, and im really happy for that. I would say im also pretty sad at where we are in the epidemic. Its a combination of hope and despair at the same time. Doctor wren, whats your reaction to just the combination of things as doctor del rio mentioned. The vaccine going out, but its coming at a time when the pandemic really seems to be at its peak, and things do not seem to be on a good path. Thats right. We are seeing, and we have been seeing explosive spread of coronavirus all over the country. Essentially we are having a mass casualty event all over the country. Every single day. And right now i mean, we just added the million new cases in the last four days. Onethird of our icus have reached capacity or are overcapacity, and the last thing i would want at this point is for people to be letting down their guard, thinking that a vaccine is here. And a vaccine is here, but its only going to be reaching a few Million People immediately. By the time we reach the point of having 70 of americans inoculated which is what we estimate to reach this herd immunity in our population, well have thousands of people dying every single day. And thats just not acceptable. And so i really hope that people will hunker down and realize we still need to do the masking, physical distancing and avoiding indoor gatherings. . The pfizer and Moderna Vaccines are going to be available in the u. S. This month. Officials have been relying on a few different are hoping to rely on a few different volcanos. But some of the vaccines were not sure about their efficacy or if theyll be approved. Are you confident as we go down the road in this process, there will be enough doses of enough vaccines to get us to where we need to be in terms of vaccinations . I think there will be. I my moderna and pfizer, and moderna will probably get approval this speak, and astrazeneca is showing about 70 efficacy. And the Johnson Johnson vaccine is coming shortly thereafter. Theres other vaccines down the road. I think well have enough vaccines. President elect biden has committed to vaccinate 100 Million People in the first 100 days in office. Thats 1 Million People a day. Thats a huge effort. Thats a Massive Public health undertaking, but Public Health takes big challenges and we do it. But when is going to be when is 70 of the u. S. Population going to be inoculated . I suspect not until the summer. I want to reinforce what was said. Please, this is a time to wear your mask, social distance, hunker down, not go to crowded places. The reality the vaccine is going to be of benefit but its going to take a while for us to get there. Its going to be until the summer until we reap the benefits of the vaccine. Thats such an Important Message for people to hear, especially today. Dr. Wen, tomorrow the vaccines are arriving at facilities. Walk us through what it might look like at hospitals across the country where first responders, e. R. Doctors are being vaccinated. How will the vaccines be carried out . Yeah. It is an extremely complex operation as dr. Del rio was saying. I want to underscore how many resources are needed. States are requested 8. 4 billion to carry out the campaign. I believe they got 300 million of that. We need to get the funding to states. Otherwise the warp speed for development of the vaccines will not be translated into warp speed for drik. Right now we also dont have nearly enough vaccines. And so many hospitals are going to be receiving this for Health Care Workers. Some hospitals are not going to, and many Nursing Homes are not going to receive the initial allotment in this shipment. And then you have the hospitals themselves. The hospitals actually still dont exactly know how many doses theyre going to be receiving. I know that hospitals all have a variety of contingency plans. They have plans for who theyre going to vaccinate first, and thats going to include individuals. The Frontline Health care workers, maybe people taking care of covid patient day after day. There are going to be Many Health Care workers initially who are not even going to be able to receive the Covid Vaccine yet. Just to underscore how many steps still are in the way between us now having this incredible Scientific Achievement and actually getting the vaccine into peoples arms. Doctor, there are some side effect associated with the vaccine, but i want to be clear with people. What should they be actually worried about, versus what is normal as a part of the vaccination . In the trials about 10 to 15 percent of people reported fatigue, severe muscle aches, fevers and chills and other things like that. But polls show that right now 6 in 10 americans, just 6 in 10, i would say are willing to get the vaccine. If you are one of those people and youre worried about the side effects, what should they know this morning . Such an important point. Im glad youre bringing it up. People should know that side effects are normal. They are expected, and they actually show that the vaccine is working. And so there are two general types of side effects. One is pain, swelling, redness at the injection site. The other is flulike symptoms, body aches, fevers, headache, fatigue. These are, again, they may be uncomfortable for a short time, but they show that the vaccine is working and they are normal. And so i think its really important that people are told about these side effects in advance so they dont end up going to the e. R. And further strain our Health Care System. Really important that people know so they also get the second dose. I dont want people to get side effects after the first dose and then say well, im not going to get the second dose. I think its just another reminder of how these are temporary, uncomfortable side effects, but they are treatable and nothing compared to the illness that you could get with coronavirus that could put you on a ventilator or you could possibly die from it. One of the beauties of the scientific process is that we try to do as much as we can to know who this vaccine is safe for, but there are some people, doctor, for whom we dont exactly know if the vaccine is safe for them because it hasnt been tested. Including children, pregnant women, Breast Feeding mothers and people with immune system problems. And perhaps people with certain severe allergies as well. What do we know about those populations and whats your message for people who see themselves in those populations and want to know when if ever can i take this vaccine . Well, let me start by saying first that i agree with dr. Wen that i dont like to call the fever and the chills side effects. Its a reaction. Your immune system is responding. Clinical trials in the first phase typically exclude pregnant women and lactating women and people with immunesuppression or with cancer or Something Like that. We dont have data on those individuals. Far children, we dont have data yet, but Clinical Trials on children are beginning now. Well have some data. My take on it is i think it will probably be okay to vaccinate children, but we need to wait. Children down to 16 is okay to vaccinate. Under that, we need to wait for data. Pregnant women, its important to have a discussion with the physician and the patient. We dont know the vaccine is going to work. We dont know if there are going to be side effects, but we will have data and have data soon. Again, because everybody is not going to be vaccinated immediately, by time individuals like that are ready to be vaccinated, well probably have at least some preliminary data. Youre looking at pictures of trucks waiting this vaccine that weve been discussing. They will be heading out to the rest of the country in the next few minutes. In the meantime, doctor wen, i wanted to ask you about the order people get vaccines. We talked about hospitals as soon as tomorrow. But what happens next . Who is next in line to get this vaccine . And are you confident that states have a plan and that theyll carry out the plan in a way that is the roll out of the vaccine is equitable . So the initial allotment is going to go to hospitals and to Nursing Homes. It makes sense. You need the integrity of our Health Care System to take care of patients and also Nursing Homes are particularly hard hit. 40 of the deaths that have occurred are among residents and staffs who work at the Nursing Homes. After that, though, it is going to be tricky. The we wont be awaiting prioritize big the cdc knowing the decision rests with the states. I think we as a society have some hard choices to make. When you have a scarce resource that many people want, we are already seeing, for example, different groups participating in lobbying efforts saying my workers are essential. And then there are some conversations happening about inmates. Inmates who are in jails and prisons are in congress regat settings. Some people are saying why should inmates get the priority as opposed to elderly individuals with chronic medical issues. I think were going to face hard zigs knowing that not everyone is going to be getting the vaccine quickly. Eventually we all will, but i dont want this to be a free for all, because if you just have people who are wealthy being able to access a vaccine because they have connections, those who are disadvantaged and have already been hit the hardest by the pandemic, people of color, people with low income, theyre going to be left out once again. Yeah. I think that is a big concern for a lot of people as we go forward. Weve already seen it seems some of the treatments for the coronavirus not necessarily being dolled out equitably. But dr. Dell ree crow, youre working on the Moderna Vaccine. Are you confident that will be approved next, and if youre one of the people at home and youre looking at the possibility there might be multiple vaccines, should people care at all which of the ones they end up getting to take . Will it matter whether or not you take the moderna or Pfizer Vaccine down the road . The pfizer and Moderna Vaccine are quite similar. The data weve seen with the Moderna Vaccine is just as good or maybe a little bit better than the pfizer. It doesnt need the same refrigeration. Between the two, i would take whatever comes first to my facility. The reality, though, is even within health care, right now if you look at just the priority cdc, there are about 20 Million People between working in health care and people working or living in longterm care facilities. First rollout of the vaccine is about 2 or 3 million doses. Maybe 10 of those eligible get the vaccine right away. Even within health care, right now were making priorities and saying nsd, critical care, radiology, and those kinds of decisions are the hard decisions that need to be taken right now. The reality is we still have a limited resource. Now, once you get one vaccine, if you get the Pfizer Vaccine, our recommendation and the relation of the experts is that your second dose is also with the Pfizer Vaccine. You get the moderna, the second should be moderna. Once we get additional vaccines, it may matter more which vaccine you take. No mixing and matching of the first and second doses. That seems an important point. Dr. Wen, today as early as today, we could see the death toll in the United States eclipse 300,000 people. People are wondering when they can go back to normal lives and see people again and have gatherings again. How soon can people expect the vaccine will start to make a difference in their daytoday lives . Its such an important point, and i know that people are eager to see their families, especially with holidays coming up. Its a time when people are stressed and scared. We want to be with our loved ones. Definitely not this winter. Probably it will be until late spring, early summer when we have enough of the populous vaccinated that we can reach the herd immunity and go back to normal. You can plan for get togethers over the late spring, early summer, and certainly by next winter, i fully expect well be back to some type of normal and able to see family members again. I want to remind everyone this vaccine, again, really incredible marvel. What it does show is that it reduces severe illness and symptomatic illness. It has not yet been shown to reduce transmission and spread of coronavirus. And so even those who have received the vaccine, they should be Wearing Masks and still be physical distancing because we dont know that its preventing them from spreading the virus to other people. So its just an important reminder that there is light at the end of the tunnel, but we still have to get through this tunnel and we really would implore everyone to hunker down in the meantime. Otherwise thousands of people are going to die every day on our way out of this dark period. Help is quite literally on the way. Right now as we speak. And were looking at pictures of these trucks preparing to leave a facility in kalamazoo, michigan with the Pfizer Vaccine that weve been discussing and waiting for. This will be underway just in the next few minutes and heading out to facilities all across the country. In the meantime, i think there are a lot of questions. Dr. Del rio, about who will take this vaccine. There are some disturbing reporreport reports about our colleagues reporting from rallies of President Trump supporters saying they dont want to take the vaccine. There are a lot of vaccine hesitance in minority communities. What are you worried about and do you think enough has been done to get the American People on board with the vaccine as we head into the next phase . Well, not enough has been done, because the vaccine has come, the results have come so quickly that we simply have not done enough. I can tell you two things. One thing i want to distinguish. The Antivax Movement from what minorities have. T