Measures. The new Field Hospital just opened as one city warns it will run out of beds within weeks. Rudy guiliani tests positive for the coronavirus as President Trump gives his first major speech since the election. Local republicans spent today refuting it. The government report first obtained by nbc news, was a foreign adversary hitting american diplomats with Microwave Radiation to make them sick . Plus, the show must go on. The nutcracker in the age of covid. The Sugar Plum Fairy Dancing under the stars. This is Nbc Nightly News with kate snow. Good evening. There is some hope on the horizon at the start of a new week. The first doses of the Pfizer Vaccine landing in british hospitals today. Here in the u. S. The fda set to meet this thursday to consider Emergency Authorization for the same vaccine. But that hope is over shadowed at the moment by far too many cases of coronavirus and deaths. California Just Announced they recorded 30,000 cases yesterday, a new record in that state, and the strain on capacity at Intensive Care Units there is leading to new stayathome orders tonight. We have every angle covered and we begin with megan fitzgerald. Reporter tonight 33 million californians hours away from a lockdown. People told to stay home, stop gathering, no more inperson dining, and reduced retail as Health Officials try to save hospitals in crisis. The governors orders in effect at least through the holidays. The bottom line is if we dont act now our Hospital System will be overwhelmed. Reporter fear turning to frustration for Restaurant Owners i am losing everything. Everything i own is being taken away from me. And they set up a Movie Company right next to my outdoor patio. Reporter for so many other workers forced to close down, desperation. Weve been taking one for the team and there is nothing left to give. Like nothing left. Reporter in some parts of southern california, defiance. The sheriffs of orange and riverside counties saying they wont enforce the states new stayathome orders. Riverside county Sheriffs Department will not be blackmailed, bullied, or used as muscle against Riverside County residents in the enforcement of the governors orders. Reporter even as the virus surges to unprecedented levels in both counties. Conflicting messaging and Patchwork Enforcement causing confusion. It adds a lot of confusion to whos right and whos wrong. Reporter pleas from the nations top doctors for americans to take this seriously i want to be very frank to the american people. The vaccine is critical but it is 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. Reporter across the nation no region 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 barbaras who lost loved ones know far too well how serious the pandemic is. The pain of losing her father will never go away. A lot more families are going to be in my shoes and it didnt have to be this way. Megan, how will officials know if the measures are working out there . Reporter Officials Say it takes at least two weeks to see if there is any result from these restrictions so here in Los Angeles County its been 11 days since Outdoor Dining was prohibited which means they could see any potential improvements as soon as next week. Kate . Megan fitzgerald, thank you. Tonight were getting our first look at the Covid Vaccine just arriving at hospitals in the uk. By this time next week the same thing could be happening here in the u. S. Reporter after much anticipation, theyre here. Tonight the first doses of the Pfizer Vaccine have arrived in british hospitals. To know they are here and we are among the first in the country to actually receive the vaccine and therefore the first in the world is just amazing. Im so proud. Reporter staff are working overtime preparing to start giving shots on tuesday. The uk has ordered 40 million doses enough for 20 Million People but only 800,000 will be available next month i dont have any concerns. I would rather have the 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 of fda Green Lighting Authorization well ship to all of the states and territories we work with and within hours they can be vaccinating. Reporter an initial 40 million doses is expected in the next month. Well focus on those most vulnerable and on the front lines of treating people with covid with the initial 40 million doses in the next month and then well progressively keep adding more and more people. Be thinking in the february march time frame that youll see more general vaccination. By the Second Quarter of next year well have enough vaccine for every american that wants it. Reporter back in britain there is more demand than doses with those over 80 and nursing home residents and staff first in line. The 94yearold queen expected to be among those vaccinated in the coming weeks but she wont get priority treatment. Have medical professionals bumped into any challenges in planning the rollout for this vaccine . Reporter kate, st. Thomas hospital here in london is among the first to start vaccinating on tuesday. It is proving challenging to transport vulnerable care home residents to the hospital vaccination sites. So in fact it will likely be people over 80 who have existing Hospital Appointments who are going to get the first doses. Kate . All right. Sarah, thank you. With hospitals around the country almost out of room back here in the u. S. Some cities are taking desperate measures. Tonight kathy park has a First Look Inside A Massive Arena thats been transformed to care for hundreds of covid patients. Reporter Tonight Hospitalizations Surging in massachusetts triggering an emergency response. Sometimes i wish they could see what we see in the hospital to really have it hit home. Reporter worcesters dcu Convention Center turned Field Hospital is now ready to receive coronavirus patients. Nbc news given access minutes before they arrived. The Ambulance Bay is over here. Theyll come through that door and the moment they come through this entire facility is a hot zone until the day we close. Reporter in the spring they treated approximately 160 patients. They can now take up to 220. But the growing fear is that the space will fill up by the end of the month. Front line workers are gearing up for the post thanksgiving surge. Were ready to go again. Reporter Respiratory Therapist and Covid Survivor jeff russell came from North Carolina fully prepared to help. Yeah, maybe eight weeks, maybe 12 weeks. Maybe longer. Well see. Reporter armed with critical ppe and new treatments the team is going into battle against the virus with more resources including spaces where patients can interact with each other. How much does this effort to bring a sense of Community Among the patients help in recovery . I think it makes all the difference in the world. We truly had people dying of loneliness. Reporter tackling the second surge, better equipped than before. Kathy joins us from worcester, massachusetts. What are Health Officials there telling you is the biggest challenge . Reporter kate, they are being challenged with staffing. A lot of Health Care Workers across the state are getting sick with the virus and need time to recover plus with cases spiking all across the country theyre not able to call in out of state doctors and nurses like they did in the spring. Kathy park, thank you. Some Breaking News now on the political front. Rudy guiliani, who is leading the president s efforts to overturn the election results, has tested positive for coronavirus. The president tweeted that news out today as his comments from a rally last night came under fire from fellow republicans. Kelly odonnell is at the white house. Reporter tonight covid hits another trump insider. Rudy guiliani, who has been on the road in four states, leading the president s election challenge, representing him on tv this morning. Well, i think georgia were probably the furthest along. Reporter hours later the president announced guilianis covid diagnosis on twitter. Get better soon rudy. We will carry on. The president Put Resentment On Center Stage in georgia. They cheated and rigged our president ial election but we will still win it. We will still win it. Reporter while supporters followed the president , vowing to fight for trump. Today new pushback from republican officials in georgia who have had enough. The president s statements are false. Theyre misinformation. They are stoking anger and fear among his supporters. I voted for him. Reporter at stake is more than the president s future. Party control of the senate will be decided by georgias pair of runoff races. I worry that this continuous fanning of the flames around misinformation puts us in a negative position with regard to the january 5th runoff. Reporter the president wants the Georgia Governor Brian Kemp to convene State Legislators to overturn the certified biden victory, a nonstarter. Urged to intervene by trump ally Kayleigh Mcenany who slipped, breaking character. We lose these two senate seats guess who casts the deciding vote . It will be kamala harris. Reporter the president tried to wish defeat away i dont want to wait until 2024. I want to go back three weeks. Kelly, you have Breaking News about a Biden Cabinet pick . Reporter to lead the department of health and Human Services in this time of covid, nbc news confirms that joe biden will nominate Xavier Becerra californias current Attorney General and former member of congress. He has led a lot of the litigation to protect obama care. Kate . Kelly at the white house for us, thank you. When we come back, gearing up. The massive effort to get the Covid Vaccine into americas smaller towns and cities. Well show you what it will take. Also new clues on what could have caused that also new clues on what could have caused that myeryst at Fisher Investments, also new clues on what cwe do things differently and myeryother Money Managers dont understand why. Because our way works great for us but not for your clients. Thats why were a fiduciary, obligated to put clients first. So, what do you provide . Cookie cutter portfolios . Nope. We tailor portfolios to our clients needs. But you do sell investments that earn you high commissions, right . We dont have those. So, whats in it for you . Our fees are structured so we do better when our clients do better. At Fisher Investments were clearly different. Managing youre on it. Es . Staying fit and snacking light . Yup, on it there too. You may think youre doing all you can to manage Type 2 Diabetes and heart disease. But could your medication do more to lower your heart risk . Jardiance can reduce the risk of cardiovascular death for adults who also have known heart disease. So, it could help save your life from a heart attack or stroke. And it lowers a1c. Jardiance can cause serious side effects including dehydration,. Genital yeast or urinary tract infections, and sudden kidney problems. Ketoacidosis is a serious side effect that may be fatal. A rare but lifethreatening bacterial infection in the skin of the perineum could occur. Stop taking jardiance and call your doctor right away if you have symptoms of this bacterial infection, ketoacidosis, or an allergic reaction. And dont take it if youre on dialysis or have severe kidney problems. Taking jardiance with a sulfonylurea or insulin may cause low blood sugar. Lower a1c and lower risk of a fatal heart attack . On it with jardiance. Ask your doctor about jardiance. Janie, come here. Check this out. Let me see. She looks. Kind of like me. Yeah. Thats because its your grandma when she was your age. Oh wow. Thats. Thats amazing. Oh and she was on the debate team. Yeah, thats probably why youre the debate queen. Mmhmm. Ill take that. Look at that smile. I have the same dimples as her. Yeah. The same placements and everything. Unbelievable. As soon as this week a Covid Vaccination could be approved for use in the u. S. But that will be just the beginning. Next the monumental challenge of getting americans actually vacci vaccinated. We have two reports on just how hard it will be to reach rural areas. Reporter in south dakota hospitals hit hard. Were 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 Sanford Medical Center has two freezers, one for the Pfizer Vaccine and one for moderna. They have eight of the ultra Cold Freezers strategically placed so they can reach the more remote communities. Each Freezer Costs 10,000 to 15,000 and can hold about 75,000 doses of the vaccine. Theyre actually double doored. So the outer door with the latch on it you can actually lock and then inside here is where the actual shelves for storage are. Its very cold. Reporter how critical is having this technology . It gives us a lot more control about how we can distribute and vaccinate our patients. Reporter dean webber is responsible for getting the vaccine to the people sanford serves. It is a population of about 1 million spread over an area the size of texas. This is a considerable effort to be able to distribute the vaccines. Our drivers put on a lot of miles over 11,000 miles a day these couriers are driving, Something Like 3 million a year. Long distances. Reporter not all Rural Health Systems can meet the challenge. Worries about storage in kansas. Theres only about ten different hospitals in the entire state that have that capability. Reporter and distribution in wisconsin. There will be hubs around our state and well partner with our state and county Health Departments to distribute those outside of our health system. Reporter preparation with a dose of hope. Things could look very different this coming spring and summer. Its been a long haul. These people in the hospitals have been working long shifts, really hard. Reporter nbc news, south dakota. Once the vaccine is ready, convincing people to take it is a whole other story so we had our senior medical correspondent dr. John torres spend months following one Health Department working on a big plan to build trust. Reporter once the Covid Vaccine is approved the rollout will be a massive challenge but one of the biggest hurdles, trust. What theyre doing, i dont want it. It may work, it may not work but im not going to be a guinea pig. Reporter that is why denvers public Health Department created an Ambitious Program to connect with under served communities who need the vaccine most. Weve been following their progress since september. Who are the people that you are hoping to reach by doing this . The people were trying to reach are people that dont usually Access Health services or go to retail pharmacies. So if we think about it, our essential workers, which are often black, Indigenous People of color. Reporter a Challenge Experts say since many minorities distrust the medical community. So this doctor and her team mapped out the citys covid hot spots and spent months building relationships by bringing flu vaccines into those areas. Is this a test run for what you anticipate doing with the covid19 vaccine . Yes. This is a test run. Reporter the goal . Make it safe, free, fast, and friendly. The team created partnerships with local leaders and on social media bringing Pop Up Clinics to shelters, community centers, food banks, even fire houses. For leslie williams, convenience was key. It was super easy. I want to make sure that we continue to have these resources in our community. Reporter we just checked back in with the team. How did it go . We have given over 3300 vaccines. Mainly flu vaccines in the community. Reporter what did they learn . Host clinics later in the day when people are home from work and school. Spread the message in many languages. Create trust by pairing the same health teams with local neighborhoods. What is next for you in this program . What we want to do is take that work, build it out for the Covid Vaccine, and then mitigate this pandemic and get people back to work and feeling comfortable about society again. Reporter a commitment to building bridges for better health. Dr. John torres, nbc news, denver. Still ahead shall the fallout from a massive noreaster and dancing under the stars. The dazzling new ways so many are the Ups And Downs of frequent mood swings can take you to deep, depressive lows. Or, give you unusually high energy, even when depressed. Overwhelmed by bipolar i . Ask about vraylar. Some medicines only treat the lows or highs. Vraylar effectively treats depression, acute manic and mixed episodes of bipolar i in adults. 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There is news tonight about what has been one of the biggest puzzles in the shadowy world of intelligence. What caused the mysterious illnesses for dozens of american diplomats and spies in cuba, china, and elsewhere leaving some with permanent Brain Injuries . Ken delainian was first to report what Government Scientists believed was the cause. What do we know now . Reporter good evening, kate. These afflictions were first dubbed Havana Syndrome because they were experienced first in 2016 by american diplomats at the u. S. Embassy there who experienced dizziness, heard a loud sound, and doctors were at a loss for what was causing the symptoms. Now a report by the National Academies of Sciences Engineering and medicine has concluded the most plausible explanation was directed radio frequency energy. In other words microwave energy. Not the kind that comes out of cell phones but pulsed waves of Intense Energy that can damage tissue. Do they believe this was done deliberately . Theyre not saying directly, kate but the scientists did point out russia for decades has done experiments on Microwave Weapons. Nbc news reported back in 2018 that u. S. Intelligence officials considered these to be potential attacks by Microwave Weapons and that russia was a leading suspect. But they dont have hard evidence on that. Kate . All right. Thank you. That big noreaster is winding down tonight. It brought high winds and more than a foot of heavy, wet snow in some parts of the northeast. And now crews are working to restore power to more than 200,000 customers throughout new england. Authorities at jfk airport here in new york are investigating a bomb scare tonight. Port Authority Police are responding to the incident involving a flat that landed from moscow just a flight that landed from moscow just after 3 00 p. M. Passengers were safely evacuated. The airport is open and operating without delay. Coming up, the show must go on. 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A beloved ballet The Nutcracker has been reimagined. The classic now dazzling audiences in a brand new way. In the town known as the Christmas Capital Of Texas The Curtain is rising. The iconic nutcracker performed in the city of grape vine by the North Central ballet. The director les jordan refused to let covid cancel their tradition but instead of an indoor theater theyre outdoors with Safety Protocols like masks back stage and on stage when dancers are close. Even squares at a distance to show families where to sit. Whats been the most challenging thing . Wondering if wed really be able to do this. I think everyone is so ready to do something normal especially at the holiday season. Reporter this dancer is playing the Sugar Plum Fairy for the first time i am just so happy were able to do the show. The show must go on. Reporter the audience is delighted. We might be a little cold but its worth it. The rat king and the soldier king. Its fun. It is always our favorite tradition to watch The Nutcracker and the fact it still gets to happen really makes it feel like it is christmas and things still can be sort of normal. Reporter and a thrill for dancers back on stage for the First Time Since the pandemic began. Im just humbled and extremely grateful to be able to do this right now. Reporter across the country Ballet Companies are getting creative like this production at an estate in new yorks hudson valley. Or the American Ballet Theater broadcasting on a times square billboard. And the city ballet of san diego set to stream online and in person at a drivein theater. Performers determined to bring a little joy. When i hear the score of The Nutcracker i feel something. It feels like christmas to me. Absolutely. Yeah. Me, too. I dont care how many times ive done this show. I could do it in my sleep backward and forward, but there is something about it when you hear that music you just know its just christmas. Even just now you feel it. That company has been performing The Nutcracker for 27 years. They have never missed a year. Thats nightly news on this sunday. Lester holt is back with you tomorrow. Im kate snow for all of us have a great night. Nbc sports, home of the olympic games, the nhl, the pga tour, Premier League and primetimes number one show, sunday night football, only on nbc. December football on the first sunday of december takes us to the home of the defending champs. Unlike last sunday, denver has a true quarterback to play in this one. Drew lock is back for the