new week, new records. hospitalizations soar in the u.s. as coronavirus shows few signs of slowing down. california tightening even more. our tracie potts is live in washington where rudy giuliani has been hospitalized with covid. vaccines will begin to be distributed in the u.k. this week our sarah harmon reports from london. is congress one step further to getting a stimulus plan. a big week for the nfl as the playoff peck tur gets more

clarity as steve kornacki gives us his perspective. thanks for starting your week with us i'm 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 here's nbc's meg fwan fitzgerald >> reporter: valerie, good morning. millions of californians are waking up to some of the most restrictive measures we've 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 in-person dining and reduce retail as hospitals try to save people in crisis >> bottom line is if we don't act now, our hospital system will be overwhelmed. >> reporter: fear turning to frustration for restaurant owners. >> i'm 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. >> we've been taking one for the team and there's nothing left to give like nothing left. >> reporter: in some parts of southern california, defiance. the sheriffs of orange and riverside counties saying they won't enforce the state's new stay at home orders. >> riverside cumulative sheriff's department will not be black mailed, bullied in the enforcement of the government's orders. >> reporter: even as the virus surges to unprecedented levels,

conflicting messaging and patch work enforcement causing confusion. >> it adds confusion to who's right and who's wrong. >> desperate pleas for americans to take this seriously >> i want to be very frank to the american people, the vaccine's critical but it's 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 region's 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 didn't 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 it's been 12 days since outdoor dining was banned, so it's 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. let's get to nbc's tracie potts for the latest on stimulus talks. time is running out for a new relief bill. >> reporter: they're 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, they're 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 vaccine's critical, but it's 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, who's 76 years old, has tested positive for covid-19 his age puts him in a high risk group. he's 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 he's 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. here's 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. thomas's hospital in london after much anticipation, they're 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. i'm 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 don't 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 we'll 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. >> we're 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 we'll progressively keep adding more and more people. be thinking in the february/march time frame you'll see more general vaccination by next year we'll have enough for every american that wants it. >> back in brittain more demand than doses the 94-year-old queen expected to be among those vaccinated in the coming weeks, but she won't 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, it's 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 that's 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 it's approved. the race is on to get the ultracold freezers in order to store the pfizer vaccine and

make a plan for distribution it's a problem for rural states like south dakota. our team spent some time there and got exclusive access to one hospital's storage units and their plan to vaccinate the rural population in south dakota hospitals hit hard. >> we're 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. >> they're 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 it's 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. that's 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 we'll 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 it's 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. there's finally some hope around the corner and a light at the end of the tunnel. frances? >> dasha, thank you. a nor'easter 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. >> let's hope they get that, too.

let's check in with nbc meteorologist janessa webb to see what's 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 we're 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 i'll 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. don't take entresto if pregnant; it can cause harm or death to an unborn baby. don't take entresto with an ace inhibitor or aliskiren, or if you've 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, i'm not getting out as much as i'd like to. that's why i take osteo bi-flex. it helps with occasional joint stiffness, while it nourishes and strengthens my joints for the long term. osteo bi-flex. because i'm made to move. ♪ just one look at you. ♪ and i know it's gonna be... a lovely day. ♪

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both indoors and outdoors, adding that it's 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 it's unbelievable. >> i disagree. i disagree i disagree. >> you're wavering a mask. >> you can have your thoughts. >> it's science. >> in worcester, massachusetts, they're going a step further to slow the spread. in addition to mask wearing, they're recommending that residents avoid shopping. >> a business like mine, it will kill us. it will definitely -- we'll go out of business. >> reporter: the city's medical director fears another surge if people don't assess the risk

before leaving home. >> how bad is it in worcester now? >> we are really in the teeth of this and we haven't even seen what we expect to be a spike of all of the thanksgiving activities that happened we're kind of modeling that, we're going see that around december 15th. i can only imagine where we're 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. >> our thanks to kathy park for that report. still to come, work remotely from a remote island all you have to do is say aloha.

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in today's quick hits, hawaii is offering people the chance to work from home on the island of oahu they will pay for the flight in with workers pledging to benefit the community with a few hours of charity. indian jewelers broke the guinness world record of most diamonds for a single ring they call it the marigold. it took them three years to design the ring. an undefeated boxing legend

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december 7th, 1941, a date which lives on in infamy today marks the 79th anniversary of the japanese attack on pearl harbor it killed 2400 americans and injured 1,000 more the following day the united states declared war. a gritty day on the gridiron had afc west showdown. the broncos had the chiefs' number the first half and helped patrick maholm stay out of the end zone he found travis kelce for the

20-yard score to take the lead kelce became the first tight end to record his fifth 1,000 yard season kansas city wouldn't look back getting a hard-fought 22-16 victory. the lonely jets were five seconds away but derek carr burst their bubble the shot kept their playoff hopes alive. and in seattle the giants overcame a slow start and blocked punt big blue's offense clicked and the giants upset the seahawks on the road, 17-12. after all of that, what does new york's path to the playoffs look like? steve kornacki was on sunday night football to break it all down. >> the giants to 5-7 you see the playoff probability jumps from 1-3 to 45% for the giants that number, by the way, could grow soon because, look, washington, they've still got to

play pittsburgh this week. if washington loses that week, the giants then move a full game ahead of washington. by the way, they have the tiebreaker over washington as well. >> couldn't stay away from that touchscreen too long after the election. spacex successfully executed their 100th mission. the falcon 9 rocket is carrying a dragon supply rocket with supplies they delivered christmas gifts, a holiday meal and 20 mice among other cargo to the astronauts at the international space station. spacex and tesla ceo elon musk plans to move to texas where there is no state income tax while california's remains one of the highest taxed states in the country. "time magazine" named the first ever kid of the year 15-year-old scientist gitanjali rao.

she was recognized for her many inventions including an app that detects contaminated drinking water. there she is right there on the cover. what a future she's going to have. >> very

we are now mandating a stay-at-home order for three weeks. >> right now at 4:30 shutdown for a second time. the new shelter in place restrictions now in place that went into effect overnight and the growing impact on small businesses across the bay area. and struggling to make it in the bay, the looming evictions set to start and the help that could be on the way for some renters. plus, dry conditions, gusty winds and growing fire danger. meteorologist kari hall tracking it all including the area seeing the biggest threat. "today in the bay" starts right now.