captioning sponsored by cbs >> brennan: i'm margaret brennan in washington. and this week on "face the nation," new covid-19 records are being shattered on a daily basis, as we face the most brutal six-week period of the coronavirus pandemic. exactly four weeks after former vice president biden won the 2020 election, president trump unloaded before a mostly maskless crowd at a campaign rally in georgia for two senate republicans facing january runoff elections. >> president trump: if i lost, i would say i lost. but you can't ever accept when they steal and rig and rob. >> brennan: obsessed with voting irregularities, the president refuses to deal with what his health

advisors warn could be a surge on top of a surge in coronavirus cases and deaths facing the u.s. in the next few months. >> they are going to be the most difficult time in the public health history of this nation, largely because of the stress that it is going to put on our health care. >> brennan: with the virus surging across the country, hospitals are overwhelmed with covid-19 patients. on top of non-coronavirus hospitalizations, are they close to the breaking point? we'll talk to the head of nebraska medicine, james linder, and we'll take a look at the massive undertaking of vaccinating hundreds of millions of americans with the head of "operation warpe"operation warp" dr. moncef slaoui. and finally, chris krebs was head of the agency taived witagenttaskforce.

it's all just ahead on "face the nation." >> brennan: good morning, and welcome to "face the nation." the numbers of new covid-19 infections, into deaths, and new hospitalizations in the u.s. continue to spiral out of control. the coronavirus was the number one cause of death in the u.s. for the first time last week, surpassing both cancer and heart disease. and he staggering task of deciding who gets the vaccine first, how it will be distributed, as well as when, is underway. we begin this morning with cbs national correspondent mark strassmann in atlanta. >> reporter: saturday night in georgia, president trump twisted a senate runoff rally into a festival of falsehoods.

>> president trump: the swing states that we're all fighting over now, i won them all by a lot. >> reporter: he claims dark forces have conspired against a second trump term in the white house. >> president trump: we're all deeply disturbed and upset by the lying, cheating, robbing, stealing that has gone on with our elections. >> reporter: what deeply disturbed health officials, all of these rally-goers wearing no masks. covid has surged from crisis to calamity. expect its peak in mid-january. one american now dies from the virus every 33 seconds. >> and then the really sick ones that pass away without family, that sucks. a lot. >> reporter: friday set a single-day record, 227,000 new cases. for the first time, america's hospitals now treat more than 100,000 covid patients. in nevada, patients with the virus occupy 30% of all hospital beds, the

country's highest rate. california is running out of i.c.u. beds. this weekend the state launches regional stay-at-home orders that will last at least three weeks. >> if we don't act now, our hospital system will be overwhelmed. >> reporter: hypocrisy alert. austin mayor steve adler urging discipline in a covid surge. >> you need to stay home if you can. >> reporter: the problem was, he shot this video from his time-share condo in cabo san lucas. president-elect biden wants everyone to wear masks for the first 100 days of his administration. it could be a tough sell. president trump insists the election was rigged, and tens of millions of trump supporters believe him, despite zero proof. tuesday is the federal deadline for all states to certify their votes, ahead of the electoral college meeting next month.

every battleground state already has. with change coming in the white house, you can expect a more coordinated national response to covid from the c.d.c., rather than a state by state patchwork policies over the last nine months. margaret? >> brennan: mark strassmann, thanks. we want to go to the chief advisor of the vaccine effort, dr. moncef slaoui joins us from just outside of philadelphia. good morning. >> good morning. >> brennan: people hear a vaccine is on the horizon and they may let down their guard over the next few weeks. how long before be could see a vaccine have an impact on lowering infections? >> doctor: well, i think we may start to see some impact on the most susceptible people probably in the month of january and february, but on a population basis, for our lives to start getting back to normal, we're talking about april or may. and, therefore, it is absolutely vital that

everybody (a) takes comfort in the fact that we have light at the end of the tunnel and find the energy in that to continue to wear our masks, distance ourselves, wash our hands, pay attention to what we're doing to make sure we are there by the spring to benefit from the vaccine. >> brennan: thank you for that. when it comes to actually delivering shots in the arms, russia and theu.k. are about to begin that in the next few days. the u.s. still has not approved its vaccine, the first in line from pfizer. are you confident it will be approved in the next five days? >> doctor: the f.d.a. is making sure it is doing it the way it always does it, including full transparency, and public discussions with its advisory board, made up of independent experts. based on the data i know, i expect the f.d.a. to make a positive decision. of course, it is their decision. as you probably know, they are totally separated and

firewalled from the operation. they will make their own judgments based on the data. i hope the decision will be positive. >> brennan: doctor, do you still expect the first vaccine shipments to be sent out by the federal government december 15th? >> doctor: well, the first vaccine shipment will happen on the day after the vaccine is approved. that's how we planned it. if the vaccine is approved on the 10th or the 11th, the minute it is approved, shipments will start. it should take them about 24 hours to make it to the varies immunization sites, and the various states have told us where to ship vaccines to them. and within, i would say, 36 hours from approval, potentially the first immunization could be taking place. >> brennan: what are the side effects of the pfizer and moderna vaccines? >> doctor: very important question.

the vaccines have been studied in over 70,000 people. so we have a good understanding on the side effects that take place within the six months we have been studying this vaccine. there are primarily side effects in the injection sites that last one or two days. in 1% or 2%, they can have significant, but not overwhelming, pain in the injection site that can be treated with advil, and a little bit of fever or chills. those disappear within 24 or 46 hours. there are no adverse side effects associated with the vaccine, to the best of our understanding, into the trial period. and we know from the hundreds of thousands of subjects that have been studied with other vaccines over the past 30 or 40 years, that most serious adverse reactions with vaccines happen within a month and a half or two months after people

have completed their immunization. we have had that observation with these vaccines, and there is no serious side effect. we are confident that in the long-term this vaccine will remain very affective and very safe. the duration of protection overall is not understood yet, simply was we did not have a long enough time to study it. >> brennan: i read you, yourself, have an 8-year-old child. vaccines haven't been tested on small children yet. should parents expect that kids under 12 will get a shot in the arm before they go back to school in the fall? >> doctor: well, so we are working to run clinical trials in adolescents and then toddlers over the next four, five months. hopefully we may have the data by the fall. if we have the data and the f.d.a. approves them and approves the use of the vaccine in younger

children, then they could have it. at this point, the vaccines have only be studied, all of them, up to 18 years of age, lower for pfizer, all the way to the age of 12. whether the f.d.a. will already approve it to the age 12, or stop at 18, we will know i thursday. >> brennan: you will have 40 million doses of vaccine this month, but the plan is to vaccinate 20 million people. why not use that first 40 million that you have to hit a broad swath of people, and then when supply increases, go back for that second dose? why not hit 20, not 40, out of the gate? >> doctor: yes, that's a very important question. and one that we have debated and studied indepth. the full immunization schedule for these vaccines is to have two

doses of vaccine either three weeks or four weeks apart. that's how we achieve 95% efficacy broadly, and in fact, 100% affect against the disease. we don't know how the behavior of the vaccine will be if we omit giving the second dose at three or four weeks, after the first dose. we are at the onset of the manufacturing of these vaccines. every dose we make, we are prepared to ship. but, you know, as always, early in manufacturing there may be challenges. sometimes vaccine doses can be delayed by a week or a few days, or, god forbid, by three weeks. it would be inappropriate to immunize large numbers of people and not complete their immunization. it may decrease the confidence in the vaccine. we want to do things by exactly how they were studied and how they have been approved. >> brennan:

president-elect biden has criticized "operation warped speed" plans, saying there is no detailed of how you get the vaccine out of a container into an injection syringe and into somebody's arm. have you fully briefed the president-elect's team? >> doctor: we haven't had any meetings yet. i know we have a meeting this coming week, and we really look forward to it. because, actually, things have been really appropriately planned. i do think that part of the plans, or maybe part of the confusion is that part of our plans is that the jurisdictions and the state health agencies in each state are going to take on the responsible and accountability of actually delivering the vaccine. we plan to have all of the material, the syringes, the needles, the swabs, everything along with the vaccine. i feel confident once we

explain everything in detail, i hope the new transition teams will understand that things are well-planned. our commitment is to make sure these vaccines make it safely to the u.s. population, and we will do the best we can to make that happen through the transition, without any interruptions. >> brennan: doctor, good luck with that. thank you for joining us today. >> doctor: thank you for having me. >> brennan: the state of illinois reported more coronavirus deaths than any other state in the past seven days. we want to go to the mayor of chicago, lori lightfoot. good morning to you. >> mayor: good morning, margaret. >> brennan: you issued a state a home home order home ort will expire in about 10 days. does it make a dent when you have an outbreak like this? >> mayor: well, i think it has. we went from well over 2,000 cases a day, and now

we're down to about 1300. not where we want to be, by any stretch, but a significant improvement just over a couple of weeks. we're still nervously watching the numbers to see if there is going to be a post-thanksgiving surge, but i think everything we can do to heighten people's awareness that this second surge is just as deadly, if not more so than the first, is critically important. i think these advisories make a difference. >> brennan: early on in this pandemic, when you joined us, you told us half of those dying in chicago were black, despite just making up 30% of your population. have those numbers improved? >> mayor: they have improved, but there is still a concern. peer weeks agwe're seeing peoplf color leading in the number of cases infected, and leading in deaths. we've done a lot of things. we've learned a lot more about this virus, but it is still a concern bow of becaue

of the underlying health concerns that make black and brown chicagoans more susceptible to the worst results of this disease. >> brennan: we no from dr. slaoui that hope is on the horizon in terms of this vaccine. and the federal government plans to directly supply the vaccine to the mayors of major cities like chicago. i'm wondering how much discretion you will get as mayor to decide who goes first and who goes last. incorporat>> mayor: we really gt no disgression. we agreed to the protocol they put forward. but the good news for a city like chicago, obviously our frontline health care workers are going to get it. our essential workers will be next in the cue. they are extraordinairely

diverse. >> brennan: how do you decide mowhodecide who is fronte and who is essential? >> mayor: we expect to get the first vaccines here in the next couple of weeks. that is already predetermined to go to the frontline workers who are dealing directly with covid patients. we expect to get around 23,000 doses. that's a fraction of what we will need. but we've been working with our hospital partners to identify those within their workforce who are going to be in the front of the cue to get the early doses of the vaccine. >> brennan: those are doctors and nurses. those are not firefighters? >> mayor: they are not. the first responders will be in the second wave. first we've got to make sure we get the frontline health care workers vaccinated. the first responders are very much at the top of the list, as are essential

workers. and so we'll be taking care of them as well. the most important thing is making sure that we get a robust supply of a vaccine so we can get it distributed as affectively as possible. >> brennan: when it comincomes to racial disparities, we know from a study done by the naacp, only 14% trust it will be affective, and among latinos, only 34% think it will be safe. how are you going to convince your constituents to take the vaccine. >> mayor: we're going to do it in a number of ways. we have organized a scientific advisory panel, made up of diverse practitioners who are going to verify and validate the process by which this vaccine has been produced. i think that is critically important. we're also looking at a variety of trusted community leaders from the

medical profesion professions, d also local stakeholders who will be on the frontlines of getting this vaccine. we've launched a campaign, going door to door, particularly in the neighborhoods where the virus has really continued to be a challenge, where there is high percent positivity case rates. and we're bringing them news of the vaccine and why it is so important. bottom line is: we've got to get local trusted leaders who are going to validate why it is important to take the vaccine. i can talk all i want, but people have to trust their neighbors and stakeholders in the community. and that's why we have activated this group of folks to be really the spokes people about the vaccine. >> brennan: one of the sticking points in congress right now over providing relief to the people financially is state and local money. you have taken a loan, $450 million in the

short-term, and you're borrowing from the sale of recreational marijuana in order to try to avoid layoffs. what are you going to do if congress doesn't provide funds to you? >> mayor: we passed the budget on the assumption we were not going to get additional money. that would be a tragedy for the people of chicago, and the people who depend on the kinds of services that the government provides, the seniors, the homeless and so forth, so i hope that the partisan divide that has prevented a package from getting to the president's desk will actually be broken through. because if you look at the devastation of our economy, it is not just blue states. it's red, it's purple. everyone has been affected by covid-19 economic impacts. and we need to make sure as mayors and governors we continue to beat that drum so congress does its work and gets a package to the president's desk for

signature. >> brennan: all right. mayor lightfoot, thank you for joining us this morning. >> mayor: thank you very much. >> brennan: and "face the nation" will be back in a minute. we'll check in with our liz palmer to see what is going on in the rest of the world. stay with us. ♪ you're all, you're all i need ♪ ♪ as long as i got you then baby ♪ ♪ you know that you've got me, oh! yea...♪ ♪ ♪ you know that you've got me, oh! yea...♪ no one likes to choose between safe or sporty. modern or reliable. we want both - we want a hybrid. so do banks. that's why they're going hybrid with ibm. a hybrid cloud approach helps them personalize experiences with watson ai while helping keep data secure. ♪ ♪ from banking to manufacturing,

businesses are going with a smarter hybrid cloud, using the tools, platform and expertise of ibm. ♪ ♪ >> brennan: the u.k. will be the first country to provide vaccines. liz palmer reports from london. >> reporter: good morning. with the rollout of the vaccine in europe now tantalizingly close, the challenge is to stop people from throwing caution to the wind. to that end, a lot of countries are doubling down on the rules. once italy lifted its severest restrictions, italians returned to church, masked and socially distanced. but italy has forbidden all regional travel. in london, covid rules were relaxed this week so

businesses could reopen. shopping is allowed, but visits with friends indoors is not. and across the continent, the elderly are being shielded from visitors, though a kiss through plastic at this home in france is clearly better than no kiss at all. and while we're on the subject, pity the poor mistletoe-growers. there was a bumper crop in the u.k. this year, but now that kissing is a public health hazard, no one is buying. covid hit a holiday ritual in bethlehem, too. the traditional tree was lit, but for the tv cameras only. many developing countries, like brazil, are struggling with covid infections, but there is no covid vaccine in sight for them. and people have gech up given up

following the rules. russia started offering its sputnik vaccine this weekend, even though final testing on it isn't complete. you can sign up online, and it is free, but early reports suggest not everyone is convinced. here in britain, the health service is going to start vaccinating people some time in the next couple of days. and the hot rumor is one of the very first people to get the vaccine will be 94-year-old queen elizabeth. margaret? >> brennan: liz palmer, thank you. we'll be right back with a lot more of "face the nation." stay with us. a1c is under 7! (announcer) and you may lose weight. adults who took ozempic® lost on average up to 12 pounds. i lost almost 12 pounds! oh! (announcer) for those also with known heart disease, ozempic® lowers the risk of major cardiovascular events

such as heart attack, stroke, or death. it lowers the risk. oh! and i only have to take it once a week. oh! ♪ oh, oh, oh, ozempic®! ♪ (announcer) ozempic® is not for people with type 1 diabetes or diabetic ketoacidosis. do not share needles or pens. don't reuse needles. do not take ozempic® if you have a personal or family history of medullary thyroid cancer, multiple endocrine neoplasia syndrome type 2, or if you are allergic to ozempic®. stop taking ozempic® and get medical help right away if you get a lump or swelling in your neck, severe stomach pain, itching, rash, or trouble breathing. serious side effects may include pancreatitis. tell your doctor if you have diabetic retinopathy or vision changes. taking ozempic® with a sulfonylurea or insulin may increase low blood sugar risk. common side effects are nausea, vomiting, diarrhea, stomach pain, and constipation. some side effects can lead to dehydration, which may worsen kidney problems. once-weekly ozempic® is helping me reach my blood sugar goal. ♪ oh, oh, oh, ozempic®! ♪ you may pay as little as $25 for a 1-month or 3-month prescription. ask your health care provider today

about once-weekly ozempic®. [cheering and waving] ♪ [hip hop holiday music plays] ♪ ah, ah! woo! hold on a sec, hold on, hold on, hold on! [gulping water] girl, we didn't even make it to the chorus! woo! that's a lotta dancing, ya'll. ohhh! [laughing] thought it was over! >> brennan: as covid surges, the economy is stalling. hiring dropped off in recent weeks just as 12 million americans are set to lose federal unemployment benefits this month unless congress takes action. democrats and republicans still do not agree on how much financial support to provide the american people, but there does

appear now to be new interest on both sides to try to do something. four million americans face eviction in the next two months, and about 17 million say they're behind on their rent or mortgage payment. just a reminder that this pandemic is more than just a health crisis. if you would like to help those struggling, go to facethenation.com for a list of resources. we'll be right back. so when i heard about the applied digital skills courses, that definitely appealed to me. you're learning how to create spreadsheets, documents, forms and surveys. i'm thinking i can become more marketable. i got to about the third course and i'm like, you know, i probably could do this for a living. you don't need to be a computer expert

to be great at this. these are skills lots and lots of people can learn. ♪ i feel hopeful about the future now. it's empowering to have that knowledge that nobody can take away from you. ♪ ♪ ♪ you're all, you're all i need ♪ ♪ you're all, you're all i need ♪ ♪ as long as i got you then baby ♪ ♪ you know that you've got me, oh! yea...♪ ♪ and other money managers don't understand why. because our way works great for us!

but not for your clients. that's why we're a fiduciary, obligated to put clients first. so, what do you provide? cookie cutter portfolios? nope. we tailor portfolios to our client's needs. but you do sell investments that earn you high commissions, right? we don't have those. so, what's in it for you? our fees are structured so we do better when you do better. at fisher investments we're clearly different. >> brennan: we'll be right back with nebraska medicine's c.e.o. did james linder and former f.d.a. commissioner dr. scott gottlieb.

[captioning funded by cbs sports division] captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org james: week 13 in the nfl. boomer: titans are 15-6. they host the browns. nate: mayfield taking care of the ball. four straight games without interceptions. bill: cousins and vikings, 12 touchdowns and kirkd,