hello, dana bash in washington. we begin this hour with u.s. shattering every single record in terms of coronavirus cases, hospitalizations, and deaths. 3,656 americans died yesterday alone. that is on average one death every 25 seconds. more than in pearl harbor attacks, more than on 9/11. it was just another wednesday. so it's easy to see numbers and

see just numbers. easy to become numb to all of this. which is why we will repeat over and over each number represents someone. many of them probably purchased holiday gifts for loved ones, were probably like the rest of us impatiently awaiting a new year that they'll no longer see. people like fill mean a, she was 44 years old when she passed away friday after an intense battle with coronavirus. a third grade teacher who spent her last days conducting virtual classes while wearing an objection gener-- oxygen mask. >> i understand many of you provide the same care you would for family, are tired, frustrated. you have to bear the burden of loss now and forever. there's nothing i can give you in honor of your commitment, courage and compassion. i can simply say i appreciate

you and am thankful for all you do. >> that hard, frustrating work is likely to grow even more taxing because there are no signs the spread of covid-19 is slowing. america added 250,000 cases yesterday. we know nearly a year into this deaths lag behind cases, that means more hospitalizations are coming. hope is on the horizon. an fda advisory panel is reviewing the moderna vaccine right now and millions of doses are ready to be shipped as soon as it is authorized. here in washington, congressional leaders say a deal on covid relief will happen soon. we'll have much more on what the deal could include in a moment. first, i want to get to the promise of a second vaccine. i want to talk about it with cnn chief medical correspondent dr. sanjay gupta. thank you so much for joining me. i appreciate it. i want to ask first about what's

happening now. the fda advisory committee recommended emergency use authorization for the pfizer vaccine. they are talking about doing it for moderna. what issues are they discussing now? >> well, it looks very promising, first of all, dana. i think that's the headline. i think it is looking likely the emergency use authorization will be given, which is terrific news. there may be some caveats. we have been hearing a lot about allergic reactions, for example. there's a lot of discussion happening now around the allergic reactions, what is driving them. we understand that people that had allergic reactions recovered just fine. the type of situation they're in, making sure epinephrine is close by. and trying to figure out is there something about the vaccines that may be causing allergic reactions. for example, the moderna trial, they did not exclude people with previous history of allergic

reactions. they had excluded them in the pfizer trial. in the moderna trial, there was a person in the placibo group and vaccine that got it. the allergic reaction happened more than two months after the vaccine, almost assuredly not related to that. to give an idea of the gran u larity of the conversation, that's what's happening now. very much like what we saw last week, lots of people weighing in, lots of discussion around this, probably a recommendation at some point maybe even tonight to the fda about whether or not to authorize it. again, it looks promising. >> interesting. there are obviously differences between the vaccine that we have been seeing going into people's arms all week and what they're talking about now at the fda. what are the big differences between moderna and pfizer? >> we put together this list of things to give you some of the

key sort of qualities of the vaccines. we can show you that they're very similar. both are messenger rna platform. both require two doses. both have similar efficacy or effectiveness. the moderna one is four weeks apart for two doses versus three for pfizer. moderna can be kept at slightly warmer temperatures that may make it easier to distribute. it is for people 18 and older. remember, last week there was discussion around the right age to authorize the pfizer one was authorized for 16 and older. something else, with moderna vaccine, this has come up recently, it doesn't have to be diluted or mixed once you take it out, it can be stable at room temperature for about 12 hours. that may offer more ease of actually administering vaccines. with the pfizer vaccine, you

heard there's supposed to be five doses each bottle, you dilute it with saline and inject it. couple extra steps with the pfizer vaccine. relatively minor differences for the person receiving the vaccine, shouldn't feel any different, process shouldn't seem any different. >> if the fda approves the second vaccine from moderna tonight or tomorrow, what does it mean for real people, what will the impact be in terms of availability? >> we have been working with numbers based on projected mf s manufacturing capabilities. a lot of people said, 40 million doses by the end of the year. that was always counting on the idea that both pfizer and moderna would be authorized. i think the number still holds. you had 6.4 or so million doses of pfizer that were available, about half that went out.

with moderna, they have a certain number of doses that go out and manufacturing continues. it is a rolling thing. when you add it up, you get 40 million doses, 20 million people potentially by end of the year. alex azar, health skt, said he thinks everyone in long-term care facilities should be able to be immunized by epidemic of the year. then you have to sort of project forward how many doses would be available from other vaccine makers, how likely would they be manufactured and all of that. >> again, it is really remarkable that we are sitting here before 2020 is over and people are getting shots in the arm, and we could have a second vaccine available. thank you so much for walking us through what it all means. a second vaccine approval can't come soon enough. there are more than 113,000 people in hospitals now being treated for coronavirus.

that's the highest number of hospitalizations we've ever seen in this pandemic. ten different states are hitting record highs. joining me to discuss that, cnn medical analyst dr. seema yasmin. thank you for joining me. alarming numbers of new infections, new deaths, hospitalizations, all at the same time we have this hope i was just talking about with sanjay. so the question is, will the shots be enough to stop the spread we're seeing now. i think i know the answer to that question. >> it's going to take some time, unfortunately. for us, we are talking about a vaccine series that needs to be two doses spread out between three weeks. even then, takes one to two weeks before your body develops the kind of immunity that can protect you from infection. the other thing is we're still learning whether the vaccine and

whether the moderna vaccine, too, can stop people asymptomatic from shedding and spreading the virus to others. that's why it is important that those people that received vaccines already, you must continue to wear your mask. so important to follow the guidelines. we need herd immunity. we are not out of the woods yet. it is hard to hold those two things, hope offered by science but also grim numbers. we talked about 3600 americans dying just yesterday from covid-19. more than the death toll from 9/11. and we're seeing this day-in and day-out. we're going to have to hunker down over christmas and the holidays. it will take a few more months. >> we are really trying to turn the numbers into human beings because it is hard when you have

such huge numbers and it is day-in and day-out. i want you to listen to an icu nurse what she's seeing on the ground in iowa city. >> we are seeing people who are getting incredibly sick from this virus. it seems like the second wave has hit people harder than the first. i don't know if that's just because the numbers are so much bigger this time around, so we are seeing more and more ill people, but people are getting incredibly sick, infecting not just their lungs, their hearts, brains, kidneys, every aspect of their life. >> doctor, why is that? do we know scientifically why it seems worse now during the second wave? >> i think we're just seeing larger numbers, but we're also starting to understand more and more that this virus doesn't just cause pneumonia or chest

infection, it can latch on receptors of the kidneys, heart, other parts of the body. it is hard to hear that especially from iowa, we see a new report from white house task force shows that iowa out of the whole of the u.s. has the highest death rate from covid-19 per population, so really hard hit. i think it is important that we think about human stories and also look at individual states because when we talk about the national numbers, yes, they're awful, average of 209,000 americans newly infected every day last week, but you can see with hope, that's 1.8 increase from the week before. you think maybe it is starting to level out, but then look to california where i am speaking to you from. we have seen a 40% increase in number of new infections from this week compared to last week, so we are so not out of the woods yet. national numbers might be starting to level out, that's

not the case here and nine other states. >> we will talk later to an official in los angeles county. i was reaching down for my mask to emphasize what you said. yes, hope is on the way, help is on the way, wear a mask, wear a mask, wear a mask. can't say it enough. doctor, thank you so much for that. appreciate it. >> thank you. and coming up, congressional leaders trying to reach a deal on coronavirus relief. the sticking points and looming deadlines next. at university of phoenix, you can earn your degree faster and for less with relevant life experience and eligible transfer credits. because your experience matters. see how much you can save on your degree at phoenix.edu. see how much you can save apps except work.rywhere...

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congressional leaders promise to reach a deal on a second round of covid relief at least before end of the year, hopefully they say sooner. senior congressional correspondent manu raju is live on capitol hill. you have been chasing down every lawmaker you see. i know you know what is going on behind closed doors. give us the scoop. >> things are moving along

slowly. appears a deal when it is reached, still expectation the deal will be reached, could be a matter of days before you see something or matter of days before congress will pass something. now there's talk among republican leaders and democratic leaders of extending a key deadline tomorrow to essentially another few days in order to give more time for talks to play out. the deadline, if they don't extend the deadline, the government will shutdown. they're trying to covid relief issue and funding bill to get this done, trying to sort out key issues. one of the big sticking points, how to structure checks, direct payments to individuals. about $600 what they're talking about, one time payment for individuals under a certain threshold. john thune said they're talking about trying to restrict it further to ensure that in his view people that get the money need the money, and there's still discussion back and forth on that point.

this proposal would include $300 per week for jobless benefits. so many people are effected by expiring jobless benefits. talking about adding $330 billion for businesses, small businesses hit hard by the pandemic. what will not be in the proposal is state and local aid that democrats are pushing for. there's debate about using fema to dole out money to states and localities on an emergency basis. that continues to play out. dana, key sticking points remain. optimism a deal can be reached but expectation now this could be a few more days, anything could happen. people eagerly await action from congress. >> as we know, this is much, much, much delayed negotiating that's happened, months in the making. before november's election, it seemed as though republican leaders felt comfortable waiting because their party was so divided on this.

i know you have new reporting how the outstanding georgia senate races are factoring into the sudden burst of negotiations. >> reporter: that's right. mitch mcconnell behind closed doors told his conference yesterday on a conference call, he said that david and kelly are getting hammered on this issue, referring to david perdue and kelly loeffler, talking about the issue of direct payments. it is a big issue in the race. democratic candidates are hammering the republican incumbents. mcconnell watches the ads closely, recognizes it. perhaps one reason it is driving a possible deal on the issue of direct payments which will almost certainly get into the final package, dana. >> manu raju, thank you so much. joining me now, democratic congresswoman barbara lee of california, former chair of both congressional black caucus and progressive caucus. thank you so much for joining me.

your reaction to outlines of the emerging coronavirus relief bill? >> sure. first, dana, let me thank you for inviting me to be with you. i think we're getting close. this really basically is what some of us are calling a survival package. we have been working on this for months. enhanced $300 a week in unemployment compensation, $600 survival payment, making sure our small businesses don't go under any more than what has happened in terms of them going out of business. it is so important. believe you me, we are going to stay here until it is done. it really is something that the american people need desperately. i know our speaker is negotiating day and night to try to make this the best package that we could provide given the bipartisan nature of the

provisions of it. >> you are part of a group of progressive lawmakers that wrote congressional leaders this week and you said that a relief package should include direct payments of at least $2,000 for all working individuals and families. you just heard manu report that they're talking about, at least republicans, john thune in particular, second ranking republican said a cap of $600 for individuals and maybe even targeted to a certain income group. would you vote for that? >> let me say, we haven't seen a bill yet quite frankly but we know that this is a survival package until the biden/harris administration comes in, then we have to do a heck of a lot more. some of us believe not only do we need direct assistance survival payment but this should extend to the end of the pandemic. we don't know when this is going to end. people need money, need money in

their pockets, need to take care of their families, need to be sure that they're safe and healthy, and businesses need some surety as to economic impacts and down sides of what's taking place. we have to see this in the longer term and we need more. but we are trying to do what we can do now so people living on the edge can survive just for the next month. i mean, this is a matter of survival now for everybody in this country. >> and real quick, the other deadline is tomorrow, which is funding the government, a basic function of congress that congress has not done the way it is supposed to for many, many years. do you feel confident that congress will avert a shutdown? >> nobody wants a shutdown, dana. i think that we're going to make sure there is no shutdown. we have to keep working. we're going to work hard until

this is done. when you look at the fact that 8 million more people have fallen into the ranks of the poor, i chair the task force on poverty and opportunity. we're trying to lift people out of poverty. we have food lines, people who have never had to seek help. our government needs to step up and help. we're going to work, we're not going to shut the government down, we're going to work until we take care of those that are desperate now that need our help. that's what government should be about. >> before i let you go, i want to ask about the senate seat from california. you are from california. it is soon going to be open when kamala harris is sworn in as vice president. your colleague congresswoman presley tweeted we cannot go backwards with election of kamala harris to vp elect, gavin newsom must prior ties leadership perspective and representation in the vacated senate seat and appoint a black woman, barbara lee, that's you,

karen bass, seasoned policy makers. do you agree her successor should be a black woman representing california and number two, do you want the job? >> well, let me say, there are several wonderful people, including congresswoman karen bass on the list as i understand it, i would be honored to serve my state, to serve my country. there are perspectives and experiences black women bring to our public policy, to our legislative agenda, and our country would be strengthened by those perspectives and there will not be one african-american woman in the senate, only been a total of ten years since 1789 that two african-american women served. so i would be honored. but of course, i respect the decision of the governor. >> but sounds like you're saying yes, it should be a black woman? >> i'm saying i would respect the decision of the governor. i believe that that void that is

going to be left by kamala harris needs to be filled because it is a void that will be necessary to move our country forward and to solve the country's problems. >> congresswoman barbara lee, thank you so much. appreciate you joining me. >> my pleasure. thank you. up next, the dire economic impact of covid-19 as unemployment climbs and lawmakers as we were just talking about are still squabbling about relief efforts. a must in your medicine cabinet! less sick days! cold coming on? zicam® is clinically proven to shorten colds! highly recommend it! zifans love zicam's unique zinc formula. it shortens colds! zicam zinc that cold! it shortens colds! to use your vision benefits before the year's up.

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sticking points remain as lawmakers try to finalize a coronavirus relief deal before the government shutdown deadline tomorrow and deadline of people losing more benefits. here's what the senate majority leader mitch mcconnell had to say about the state of negotiations. >> my judgment, we're very close to a point that arises in every major negotiation, it's the point where each side faces a fork in the road. we decided we're going to stay on the fast track or drift back towards business as usual. >> joining me now, white house reporter for "the washington post," sung min kim. you talked about the fast track or drifting back and both sides have their tensions.

that's the art of negotiation for sure. you had some reporting in today's paper that there was tension on the democratic side between bernie sanders who obviously is progressive and joe manchin who is part of the moderate group trying to come up with a compromise or did come up with a compromise. you reported sanders pushed for the package to include more robust stimulus checks. manchin said unemployment benefits are more essential to approve. this sounds pretty typical that the progressives and oddly in this case it is bernie sanders, then you have josh holly all the way on the right who joined forces with him to push for more robust direct payments. what's going on at this point on that particular issue? >> yeah, the issue of stimulus checks has become quite the interesting one in the final days of stimulus negotiations on capitol hill because that moderate group you just

discussed earlier, the mod squad, did not include in their proposal. you have this unusual coalition from bernie sanders on the left and josh hawley with support from the administration, the administration would like to see some sort of direct payments go out as part of a covid relief package, kind of put the issue back on the radar for congressional negotiators. but there's a problem here, there's not infinite amount of money to spend. republicans, it has been a constant tension for most of the republican senators getting more and more uneasy by the day about all of the money and federal dollars going out the window. that's kind of where the tension came yesterday where bernie sanders and his allies say it is a false choice, you can have robust stimulus checks and dole

out unemployment benefits. manchin who is negotiating with republicans is saying there's kind of a ceiling for how much money you can spend. with the money that we have, we would much rather direct it towards unemployment benefits where it is almost guaranteed those dollars will be spent rather than checks for people that are not only unemployed but employed with a steady paycheck coming. >> my colleague manu raju reported earlier that john thune, number two senate republican, saying there could be direct payments of $600 per individual. but maybe limited based on their income. i want to turn quickly to the president-elect's cabinet and the fact that he still has a big pick outstanding, that's for attorney general. cnn is reporting that it is narrowing down, there are several people on the list, including alabama senator doug jones who was defeated in november and former supreme court nominee merrick garland

that never got a hearing. both are leading contenders. you tweeted when you custody doug jones about at the laughed, which what else is he supposed to do. what are you hearing? >> yes. senator jones has been very good natured about all our questions. i am sure he is asked four times a day from various reporters. you're right, doug jones, merrick garland, perhaps another person or two are seen as finalists for biden's attorney general pick which is the most important kind of major cabinet position that's outstanding on the list. jones has several benefits going for him here. obviously that he does have an extensive record on civil rights, endorsed by civil rights leaders and they said as much to the biden administration and press. someone we could see being

easily confirmable in any senate configuration, whether it is a democratic senate with kamala harris as tie-breaker or in a republican senate. remember, with merrick garland, he does currently sit on the d.c. circuit court of appeals, second most powerful court in the country. if he leaves that post, there would be a vacancy. if mitch mcconnell is in charge, does he let joe biden fill that vacancy? we don't know. >> we don't know. certainly is some poetry to the notion of merrick garland being attorney general, which in addition to his qualifications are reasons they're on the list, both of them. thank you so much for that. as lawmakers try to hammer out a deal for coronavirus stimulus relief, new evidence of how dire the real life economic impact of covid-19 is. a staggering 885,000 people filed for first time unemployment benefits last week,

an increase from the week before. my next guest says lawmakers really have to act quickly to stop a double dip recession. mark zandi, chief economist at moody's an lalytics. i want to start with what's projected to be in the covid plan we have been talking about with others in the program. new round of stimulus checks, extra $300 a week in unemployment benefits, $300 billion for small business loans, fema funding, money for vaccinations, and schools. there's no corporate liability protections right now. right now, no state or local aid. it is still a moving target. it is not done yet. from what you see these bones of a deal, is it enough right now? >> yeah. it is enough i think to allow the economy, which is struggling, today's unemployment claims are testimonial to that. we got a number on retail sales,

they declined in november after declining in october. the economy is clearly on the edge of recession. if lawmakers don't act, and that's most important. need to sign the bottom line in the next day or two. if they do that with this $900 billion package, it will be enough, but it will be just enough to get to the other side of the pandemic. >> we are not seeing stay at home orders on a nationwide level like we saw in march and april. listen to how one former disney employee described the situation. >> just because they see that universal is open, disney is open, seaworld is open, our economy is not open, our state is not open. people are not back to work. people are suffering. everyone is sitting there, suffering in silence and it's horrible. and we're all just i feel like drowning here and it's just the

worst thing. people come here to have a good time, and we're all suffering. >> suffering indeed. what is driving job losses now? >> boy, that's tough. clearly the pandemic is. people are nervous. even if local officials aren't asking businesses to pull back, for restaurants to stop serving indoors or at all in the northeast or other parts of the country where it is cold, people are nervous about getting sick, rightfully so. they're not traveling. they're not going to restaurants, not going to movies, not going to disneyworld, not doing the things they typically do, and that's hard on the economy. there are a lot of jobs involved here. in fact, if you take a look at total unemployment, we're still down 10 million jobs from where we were in february prepandemic. half the jobs are people who say

they have permanently lost work. that's a lot of financial pain and suffering. >> sure is. thank you for putting that into perspective for us. mark zandi, appreciate it. >> sure. up next, several european prime ministers can sell their schedules after possible coronavirus exposure by the french president. stay with us. gies, we started by making the cloud easier to manage. but we didn't stop there. we made a cloud flexible enough to adapt to any size business. no matter what it does, or how it changes. and we kept going. so you only pay for what you use. because at dell technologies, we stop...at nothing. ♪

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the california health department reporting an alarming number of new coronavirus cases, a huge part of the state's surge is in l.a. county. a record breaking number of new

cases, deaths, and hospitalizations. icu beds are running out. behind the case numbers there are faces like this one. marsha santini, a nurse at ucla who is now infected. >> this is like someone punched me in the gut and ripped my heart out. i'm thinking how could this happen? we were so careful. want people to know this is not a picnic in the park at all. you know, if you have mild symptoms, thank god. thank god. i get severe pain in different parts of my body. i have now lost my taste, smell, i have a lot of gi type symptoms. >> joining me now, barbara ferrer, director of l.a. department of public health. thank you so much for joining me. record number of cases, hospitalizations, deaths in your county. is this a post holiday surge or is there something more? >> thanks so much, dana.

this is a post holiday surge, that doesn't need to be. i think when we think about is this something more, this is a lot of inter mingling that needed to happen, but it did happen and it created for us an enormous increase in our cases. yesterday, we reported 22,000 new cases, it included about 7,000 backlog lab reports. even at 15,000 new cases a day, that's overwhelming our health care system at this point. and continues to overwhelm our health care system. we have now seen yesterday about 65% of the day, the ambulances are on diversion at all our hospitals. it was untenable. we're going into a new holiday season. we need people to stay home, not mingle, not travel. this is the time to really be

with your household members, only with your household members, and only be going out if you're an essential worker or need to get an essential service. >> such important advice. we are putting on the screen the test positivity in l.a. and california. they are in double digits. we talked about the post holiday surge. do you get the sense that people are just giving up, that it is fatigue of dealing with this? again, what is your sense about why the numbers and statistics are going absolutely in the wrong direction? >> well, i think it is such an important question. not sure there's a definitive answer. i would say there are three things that are going on. the first is this sort of fatigue issue, but the real people who are fatigued are front line health care workers frankly, and we need to remember that. we feel sad we might not be with our family, there are some people that will never see a

family member again, other people that will spend the entire holiday season working overtime shifts in hospitals because they're taking care of too many patients. we should all think about our own fatigue, our own tiredness with all of the modifications we are asked to make and put that in the context of people who have really had devastating losses, and are continuing to try to take care of all of us during the surge. i think the second issue is i think there's a misunderstanding of what's safe and not safe. that debate unfortunately became political, wearing a mask instead of being how we take care of each other is now a political statement about freedom. i'm not sure we want to be free to infect people, make people really sick. i don't think that's really our history here in the united states. i think we really do best when we are caring and kind and taking care of each other. that's what mask wearing is

really about. so we need people to just put aside sort of the political issues and really understand how important it is to keep those masks on. and i think the third issue is we think the people we know and love are safe and that they can't infect us. i would estimate at this point probably 1 in 50 people in l.a. county may be infected and that's going to include people you know and care about and who are in your family or extended family. so that myth we should sort of dispel at this point. anybody can become infected and anybody may be infected. you've got to keep your distance, wear your mask. >> all important points. i just want to underscore the fact that you talked about the fatigue, most fatigue felt by front line workers, health care workers, everybody in hospitals. we thank you and we thank you you, barbara, for everything you're doing.

thanks for joining us. >> amazing team here. amazing work everywhere. thank you for making sure the viewers have accurate information. it is really important. >> thanks. and covid vaccines are ready but there's skepticism in minority communities. what will it take to build trust in the science? the color of covid, the vaccines, airs tomorrow at 10:00. we'll be right back. for over 25 years, home instead has helped seniors stay home.

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right now, a deep blanket of snow in the northeast. 40 inches deep in binghamton, new york. in new york, snowplows worked through the night trying to keep roads open. now 18 counties in a state of emergency, but it is not just new york and some parts of the region. there's more snow today than we saw all of last season. meteorologist derrick van dam is in boston. it looks pretty. >> reporter: walking around in a real life snow globe this morning, dana. incredible to see the snow totals coming out of central new york state. i have never seen something like that, a storm to produce that much snow in a short period of time is astounding. we're in the north end of boston. you can see the beautiful scenario behind us. this is a city no stranger to

nor'easters and snowstorms. they know how to handle the systems. snowplows are quickly clearing the roads. there was a snow emergency declared by the mayor, marty walsh, allowing for people to move off the roads, take vehicles off the roads so plows could do their job. 600 flight cancellations on the eastern seaboard. still snowing here as you can see. another three hours or so before the sun will start to shine and change the landscape here. really spectacular. back to you. >> make it prettier. i'm a little jealous, got a little snow, little sleet and slush. was looking forward to making a snowman with my son. thank you so much, appreciate it. thank you for joining us. brianna keilar picks up coverage after a quick break. a real idaho potato farmer. genuine idaho potatoes not just a side dish anymore. always look for the grown in idaho seal.

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i am brianna keilar. welcome to our viewers in the united states and around the world. before we get to the stimulus deal meant to provide relief for families, i want to start with an american crisis unfolding before our eyes. yesterday was the deadliest day of the pandemic, on top of a new record also set for new cases