Less than 42% of the more than 1 million vaccine doses allocated to Pennsylvania have been distributed, according to the Centers for Disease Control and Prevention.

The state’s largest health care system has been vaccinating non-clinical and non-patient facing staff, including those who work at home, employees say.

Some infectious disease researchers estimate that the U.K. variant will become the predominant strain on this side of the Atlantic by March.

“There’s no time in between each death to kind of collect yourself and mourn for that person,” said Jodi Faltin, who cares for COVID-19 patients in the intensive care unit at UPMC Shadyside.

Currently, health care workers and high-ranking government officials are the only people with access to the vaccine in Pennsylvania.

Some have wondered why Allegheny County hasn’t taken more decisive action and broadened restrictions, similar to actions taken in Philadelphia last month. The head of Allegheny County’s health department said that acting alone wouldn’t be very effective because surrounding areas also have surging rates of coronavirus infections.

While the tone of Gov. Tom Wolf’s press briefings has grown increasingly foreboding, he has yet to order another shutdown like was seen in the spring.

Allegheny County reported 20 new deaths—including one person in their 40s, and another in their 50s. The large number of fatalities was expected as hospitalizations have rapidly risen for weeks.