A record 590 new fatalities were reported in Germany on Wednesday, beating the record previously set Tuesday of 568 new deaths, the Robert Koch-Institute reported.

Germany has now lost 19,932 lives to COVID-19.

"A reversal of this trend so far is not in sight," German Deputy Government spokesperson Martina Fietz said, adding that in some regions, hospitals are reaching their limits.

"With more than 4,200 people in intensive care, the number is considerably higher than in the spring," Fietz said.

Chancellor Angela Merkel spoke in parliament Wednesday, pleading with regional leaders to enforce tighter regulations to stop the spread.

Over 1.2 million people in Germany have been diagnosed.

ABC News' Christine Theodorou contributed to this report.

Canada has authorized the Pfizer vaccine, becoming the third country to do so after the United Kingdom and Bahrain.

Canada's health department said, "after a thorough, independent review of the evidence, Health Canada has determined that the Pfizer-BioNTech vaccine meets the Department's stringent safety, efficacy and quality requirements for use in Canada."

A rollout date was not announced. Initial supplies will be limited with more doses available in the spring, officials said.

Health Canada is also reviewing another three vaccines.

ABC News' Kirit Radia and Christine Theodorou contributed to this report.

Baltimore will shut down indoor and outdoor dining beginning Friday, said Mayor Brandon Scott, who was sworn in on Tuesday.

Restaurants can offer takeout and delivery.

Scott’s order also sets a 25% capacity limit at retail stores, religious institutions, gyms and malls.

The new rules come as Maryland reported a record number of hospitalizations during the pandemic -- 1,715 patients -- surpassing the previous peak in April.

ABC News' Dee Carden contributed to this report.

President Donald Trump's personal lawyer, Rudy Giuliani, told WABC Radio that he'll be discharged from the hospital Wednesday afternoon following his COVID-19 diagnoses.

“I feel just about 100% right now," he said.

Giuliani said he will isolate for a few more days “because the way they calculate it, I probably got it [the virus] about seven, eight days ago.”

Seven days ago, Giuliani was in Michigan, testifying at the state's House Oversight Committee hearing for suspicion of voter fraud. The next day, he appeared at a hearing at the Georgia Senate Judiciary Committee to contest that state's results.

ABC News' Ben Gittleson contributed to this report.

U.S. Surgeon General Jerome Adams urged people to take the coronavirus pandemic seriously and follow public health guidelines as infections and hospitalizations soar across the country.

"I want the American people to know this virus is incredibly unforgiving, cases are going up, hospitalizations are going up, my colleagues are dog-tired and we need you to hang on just a little bit longer because we've got vaccines coming but we want as many people to be alive to get them as possible and a lot of that is going to depend on your behavior," Adams told ABC News chief anchor George Stephanopoulos in an interview Monday on "Good Morning America."

Although "more people than ever are wearing masks," Adams said he's "very" concerned by the number of people who still "don't understand how much spread is occurring by people who don't have symptoms."

About 20 million "full doses" of COVID-19 vaccines will be available by the end of the year, according to Adams, who urged every American to be immunized against the virus as soon as a vaccine is authorized and made available.

"It's a way that we can ultimately end this pandemic, but it doesn't matter if people won't get the vaccination," the surgeon general said. "We know that vaccine levels are only about 50% for adults for flu and they go down to about 40% for African-Americans."

Adams said he is working with historically black colleges and universities as well as faith communities to bolster vaccine confidence among all populations. The White House is also hosting a vaccine summit Tuesday, he said.

"One thing you can all do right now, it's national flu immunization week, get your flu shot because half a million people were hospitalized last year with the flu," Adams said. "We simply can't afford for that to happen this year with hospitals being overwhelmed."

The surgeon general said the current surge in infections across the country "is different than earlier surges," because it's not about a lack of masks or personal protective equipment, nor is it due to a lack of testing.

"It's really about health care capacity, and certain places are just being overwhelmed," he said. "So we know that we can actually help them with their health care capacity by immunizing their health care staff. We're going to leave it up to the states, but we're going to give them guidance."

Adams noted it's also important to vaccinate those who are most likely to die from COVID-19.

"We know that 40 to 50% of the deaths are occurring in people who are in longterm care facilities who are older," he said.