US reports over 34K new cases as hotspots reemerge in Northeast

Francis Collins, director of the National Institutes of Health, told ABC News, "I would expect that if we have a vaccine that's approved by December, by the spring, most Americans will have a chance to access it."

"Certainly by the middle of 2021, we ought to be in a pretty good place," he said.

But Collins stressed, "I'm saying all this with the assumption that one of these vaccines is going to work. We don't know that yet, and until we get to that point, science is not predictable."

Collins said a friend asked him if her daughter should reschedule her May 2021 wedding.

"I didn't quite know what to say," Collins said. "I kind of said, 'Well, you might not reschedule it yet, but you might think about having some flexibility there in case we're still at the tail end of a time where people really shouldn't be gathering in large numbers."

ABC News' Bob Woodruff and Victor Odonez contributed to this report.

The organization that represents the publicly funded hospitals of England warned Tuesday that COVID-19 testing shortages across the country are jeopardizing efforts to restore medical services and prepare for a potential surge in cases over the winter.

The National Health Service (NHS) in England is facing an increase in staff absences due to employees and their family members being unable to access a COVID-19 test. Without a test for either them or their loved ones, NHS staff are having to self-isolate after possible exposure to the virus, taking them away from the front line of the pandemic where they are desperately needed, according to a press release from NHS Providers.

NHS Providers CEO Chris Hopson said that hospital leaders in the British cities of Bristol, London and Leeds all raised concerns over the weekend about the lack of testing. He said hospitals "are working in the dark -- they don’t know why these shortages are occurring, how long they are likely to last, how geographically widespread they are likely to be and what priority will be given to healthcare workers and their families in accessing scarce tests."

"They need to know all this information so that they can plan accordingly," he said in a statement Tuesday. "We need to prioritize tests for healthcare workers and their families and patients coming in for treatment, many of whom have already waited longer than normal."

U.K. Home Secretary Priti Patel told BBC that delays in testing for the public are "unacceptable."

A county in North Carolina sent erroneous text messages and emails to more than 7,000 residents saying they were positive for COVID-19.

More than 6,700 people in Mecklenburg County were told the news in a text message from the local health department last Friday, while more than 500 others received the notice via email. Mecklenburg County said its health department does not text or email test results to those affected.

In a statement Monday, Mecklenburg County manager Dena Diorio explained the erroneous messages were sent through HealthSpace Data System, a Canadian company, to individuals who were already in their system. The technical glitch occurred during "routine maintenance" and was fixed in less than an hour. No personal information was compromised, according to Diorio.

"Once corrected we were told that 6727 text messages and 541 emails were sent to individuals who were already in their system," Diorio said in an email to the Board of County Commissioners on Monday afternoon. "We then worked with the vendor to send a corrected text/email to all that received the erroneous one."

To date, more than 27,000 Mecklenburg County residents have tested positive for COVID-19 and at least 339 have died.

The World Health Organization issued framework on Tuesday intended to help decision-makers on how to allocate and prioritize the first supplies of COVID-19 vaccines, which will be limited.

The framework can be a useful resource for countries as they decide on priority groups for COVID-19 to reduce the burden from deaths and disease, to lessen societal and economic disruptions and to protect essential services such as health care.

Priority groups will include -- but are not limited to -- populations with significantly elevated risk of severe disease or death; populations with significantly elevated risk of being infected; school-aged children to minimize disruption of education and socioemotional development; and then on to workers in non-essential but economically critical sectors.

ABC News' Sony Salman and Christine Theodorou contributed to this report.