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KALAMAZOO, Michigan (AP) — The first trucks carrying a COVID-19 vaccine for widespread use in the United States have pulled out of a Michigan manufacturing plant. The shipments Sunday morning set in motion the biggest vaccination effort in American history. The shots that are critical to stopping the nation’s coronavirus outbreak are destined to reach states a day later. Initial doses of the Pfizer vaccine will likely be limited to health workers and nursing home residents. The Food and Drug Administration authorized emergency use of the vaccine Friday, saying it is highly protective and presents no major safety issues. 635

KANSAS CITY, Mo. - As a former traveling nurse, Samantha Hessing said several companies reach out to her almost every day with offers to send her to hospitals that are in dire need while battling COVID-19."There’s a nursing shortage, that's never gone away," Hessing said, "and all that's happening now is these big hospitals are providing enough cash offers to draw a vast majority of them."Though its grueling work, the pay can be upwards of ,000 per week."I've seen numbers anywhere from ,600 a week, up to almost ,000 a week," Hessing said. "That is with mandatory overtime. So some of those contracts, it is written in that you'll work 48 or 60 hours a week."But Hessing also said the higher the pay, the shorter contract – about 6 to 8 weeks instead of the usual 13 weeks.Traveling nurses have made up about 6% of Truman Medical Centers' nursing staff since COVID-19 broke out."The ability to supplement that with agency or traveling staff is certainly helpful. But realizing that's an area that is very much in demand," Charlie Shields, president and CEO of Truman Medical Centers/University Health, said.Some nurses found the concept of traveling appealing when elective surgeries went away at the onset of the pandemic."So many things had shut down that there wasn't actually an opportunity for some of the nurses to work or get hours," Hessing said. "And so they did. They left and took travel assignments."Hessing said Kansas City, Missouri, is a bigger draw for traveling nurses because it's a metropolitan area, but worries that not all hospital systems in the metro are as lucky."It's causing a pretty big deficit for smaller hospitals or rural hospitals that don't have the resources to be able to offer that," Hessing said.This story was first reported by Andres Gutierrez at KSHB in Kansas City, Missouri. 1836

JUNEAU, Alaska — The U.S. Bureau of Land Management plans to hold an oil and gas lease sale for land in Alaska’s Arctic National Wildlife Refuge next month. Meanwhile, banks around the world are publicly saying they will not finance oil and gas development in the Arctic.The land agency says it plans to hold a lease sale on Jan. 6. It comes just weeks before President-elect Joe Biden is set to take office, and he has said he opposes drilling in that region.The refuge is home to migrating caribou, polar bears and other wildlife."Congress directed us to hold lease sales in the ANWR Coastal Plain, and we have taken a significant step in announcing the first sale in advance of the December 2021 deadline set by law," said a statement Thursday from Chad Padgett, the Alaska state director for the Bureau of Land Management.In 2017, the Republican-led Congress approved legislation to open up the coastal Arctic National Wildlife Refuge for oil development. The measure required two lease sales within seven years, with the first sale no later than the end of 2021.Conservation groups criticized news of the sale as rushed and based on environmental reviews that are currently being challenged in court as flawed. Conservation groups, the Indigenous Gwich'in people, and a coalition of 15 states have filed lawsuits challenging the environmental reviews.Alaska politicians say opening the area for exploration would boost oil production, create jobs and generate royalties.However, even if a lease sale is held, there are questions about which companies could afford to drill in the refuge.Just this week, Bank of America said they are ruling out financing for oil and gas development in the Arctic, including in the Arctic National Wildlife Refuge. They are the latest U.S. bank to publicly commit to not financing oil and gas development in the region.“There’s been misunderstanding around our position, but we have not historically participated in project finance for oil and gas exploration in the Arctic,” Larry Di Rita, the bank’s head of public policy and strategy in Washington, told Bloomberg.“But given that misinterpretation, we’ve determined that it’s time to codify our existing practice into policy.”Bank of America joins Goldman Sachs, JPMorgan Chase, Wells Fargo, Citi and Morgan Stanley and nearly 30 major banks from around the world have committed to not fund oil and gas development in the Arctic. 2427

Ivanka Trump's use of a private email account will soon face new scrutiny on Capitol Hill, with a key House committee and Senate GOP chairman planning to look into whether President Donald Trump's daughter and senior adviser violated the law when conducting government business.The House Oversight and Government Reform Committee plans to revive efforts in the new Congress to look into the White House's use of private emails amid reports that Ivanka Trump used her personal account through much of 2017 to trade messages with Cabinet officials, White House aides and other government employees.The likely incoming Democratic chairman of the committee, Elijah Cummings of Maryland, plans to renew efforts to look into private emails next year after the Republican-controlled panel dropped its investigation into the matter when a separate controversy arose last year. He said Tuesday that his goal is to "prevent this from happening again -- not to turn this into a spectacle the way Republicans went after Hillary Clinton.""We launched a bipartisan investigation last year into White House officials' use of private email accounts for official business, but the White House never gave us the information we requested," said Cummings, who helped author a 2014 update to the Presidential and Federal Records Act. "We need those documents to ensure that Ivanka Trump, Jared Kushner, and other officials are complying with federal records laws and there is a complete record of the activities of this Administration."It's not just Democrats. Retiring Oversight Chairman Trey Gowdy, a South Carolina Republican, sent a letter to White House chief of staff John Kelly on Tuesday asking for more information about Ivanka Trump's personal email use. In the letter, obtained by CNN, Gowdy is seeking responses from the White House by December 5 and a briefing to update the committee on the White House's internal review. One of the questions Gowdy asks is "whether the emails in question contained sensitive or classified information."Senate Homeland Security and Governmental Affairs Chairman Ron Johnson told CNN Tuesday that he is "concerned" about Ivanka Trump's use of private emails -- and plans to look into the situation."We take this very seriously," said Johnson, who has been a sharp critic of Hillary Clinton's email use and used his committee to investigate the Clinton matter during this Congress. "Federal records is under my committee's jurisdiction, and we will dig into exactly what has happened here."Johnson, a Republican from Wisconsin, would not say if his committee would hold oversight hearings on the matter or would follow up with letters to Trump, but said: "We are definitely going to follow up on it."Johnson also wrote to top White House lawyer Emmet Flood on Tuesday asking for more information about the private email use.In 2017, Gowdy and Cummings, the Oversight Committee's top Democrat, sent a letter to then-White House counsel Don McGahn saying that in the wake of reports of email misuse, the committee "has aimed to use its oversight and investigative resources to prevent and deter misuse of private forms of written communication."But many of the committee's questions have so far gone unanswered by the White House.The Washington Post reported Monday the White House conducted an investigation into Trump's email usage and that she used her personal email address for much of 2017.The White House did not immediately comment on Ivanka Trump's email practices, but her attorney said the use of the email was used "almost always for logistics and scheduling concerning her family."According to emails released by the watchdog group, American Oversight, Trump used her personal account to email Cabinet officials, White House aides and assistants. The Presidential Records Act requires all official White House communications and records be preserved.In a letter sent on Tuesday to the House Judiciary and Oversight committees, the group calls for a congressional investigation into the matter, which it calls a "blatant derogation of the law."The letter says that the "parallels between Ms. Trump's conduct and that of Secretary Clinton are inescapable" and that an investigation is required to determine if materials have been adequately collected, whether there were cybersecurity breaches, and whether any classified materials are involved or rules were broken.Johnson, however, said that the Ivanka Trump situation does not appear to be as problematic, in his view, of the Clinton controversy."I don't think the comparisons between Hillary Clinton and Ivanka Trump are comparable at all," saying there was a private email server set up in the Clinton case and saying that Ivanka Trump's email use appeared to be mainly during the transition period, though he acknowledged he needed more information.Johnson also said: "In today's world, we have to recognize the reality that people are human beings, they are private citizens and are going to have private email."Asked if that meant he was giving Trump's daughter a pass, he insisted he wasn't."I am concerned. That's why I expressed my concern," Johnson said. "We told everybody on my way coming in, you have to follow these records acts. ... I will conduct oversight of this; we take this seriously."This story has been updated to include additional comment from lawmakers and the watchdog group American Oversight.The-CNN-Wire 5426

LA JOLLA (CNS) - Two passengers riding in a speeding car died today when the vehicle hit a palm tree on Girard Avenue, police said.The crash happened at 3:16 a.m. when the driver of a Nissan Altima was speeding westbound on 1000 Torrey Pines Road, said Officer Dino Delimitros of the San Diego Police Department.The 26-year-old man driving the Altima made a left turn onto 7500 Girard Ave., lost control of the vehicle and crashed into a palm tree, the officer said.Two male passengers, ages 19 and 21, received major injuries and died at the scene, Delimitros said.The injured driver was taken to a hospital and will be held on suspicion of driving under the influence, the officer said. 696