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State and local health departments will break up and redistribute shipments of other vaccines, which are expected to require orders of at least 100 doses, for smaller providers that do not

need that many. But even if distribution goes smoothly, officials worry people will not want the shots. "If there's going to be any real challenge, to be honest with you, it's

going to be convincing folks to get the vaccine," said Patrick Peer, who runs the Good Neighbor Community Health Center in Columbus, Nebraska. So far, states have received far less

money than they say they need for vaccine distribution, and it's unclear if any more federal help is coming. Public health groups estimate that an additional $8.4 billion is needed to

pay for staff, data systems and outreach and supply costs. In rural Minnesota this fall, masked nurses in traffic vests reached into cars to give passengers flu shots. The drive-thru clinic

was a way to social distance in the pandemic, but it also served as a test run for someday administering a COVID-19 vaccine. Carlton County has purchased mobile vaccination stations to

prepare for similar mass clinics for the coronavirus. But county health officials are also suddenly dealing with a spike in cases, and many questions remain unanswered, including when a

vaccine might arrive and how many doses there will be. "It's all kind of up in the air," said Jenny Barta, a public health nurse specialist.