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SAN DIEGO (CNS) - As San Diego County awaits guidance on the effects of its removal from the state's coronavirus watchlist, public health officials reported 291 new COVID-19 cases and eight additional deaths Saturday, raising the region's totals to 36,203 cases and 660 deaths.Four women and four men died, officials said Saturday. Their ages ranged from mid-40s to mid-90s. All had underlying medical conditions.The county was officially removed from the state's monitoring list Tuesday, setting in motion a 14-day countdown that could see K-12 students back in the classroom as soon as Sept. 1, depending on the decisions of individual school districts.However, 27 schools -- mostly private, religious schools -- have been approved for in-person learning by the county.The schools include Calvary Christian Academy, Francis Parker School, Chabad Hebrew Academy, San Diego French American School, La Jolla Country Day School and others. They were among nearly 50 schools that applied for a waiver to the county's public health guideline regarding in-person teaching.Of the 8,824 tests reported Friday, 3% returned positive, bringing the 14-day rolling average to 3.6%, well below the state's 8% guideline. The 7- day rolling average of tests is 7,292 daily.Of the total positive cases in the county, 2,961 -- or 8.2% -- have required hospitalization since the pandemic began, and 728 -- or 2% -- were admitted to an intensive care unit.County health officials reported no new community outbreaks as of Friday, bringing the number of outbreaks in the past week to 17.The number of community outbreaks remains well above the county's goal of fewer than seven in a seven-day span. A community setting outbreak is defined as three or more COVID-19 cases in a setting and in people of different households in the past 14 days.County Supervisor Nathan Fletcher said he and other county officials were expecting to hear about the framework for reopening indoor businesses from the state next week."That doesn't mean we'll be able to open everything all at once," he said Wednesday. "We must be mindful. We don't want to undo the progress we've made so far."The county continued to make progress Saturday, with a case rate of 81.8 positive COVID-19 tests per 100,000 people, below the state's 100 per 100,000 guideline.The county will be placed back on the list should it be flagged for exceeding any one of six different metrics for three consecutive days. Those metrics are the case rate, the percentage of positive tests, the average number of tests a county is able to perform daily, changes in the number of hospitalized patients and the percentage of ventilators and intensive care beds available.On Monday, county-compiled data related to race and ethnicity on testing, staffing and geographic location will be made available for the first time. Previously, data on race had been broken down by deaths, hospitalizations and case numbers only.Latinos are still disproportionately impacted by COVID-19, with that ethnic group representing 61.7% of all hospitalizations and 46% of all deaths due to the illness. Latinos make up about 35% of San Diego County's population.Dr. Wilma Wooten, the county's chief health officer, revealed a five-tiered testing priority protocol Wednesday that the county has been using. In the top two tiers were symptomatic people separated by risk factors, followed by two tiers of asymptomatic people and finally by a general public health surveillance tier. The county reassessed its testing priorities in mid-July.San Diego Mayor Kevin Faulconer announced Tuesday that the city would begin allowing gyms, fitness businesses and places of worship to operate in city parks beginning Monday."There is no city better than San Diego to take advantage of the fact that COVID-19 has a harder time spreading outdoors. Using parks as part of our pandemic relief response will help the mental health and physical health of thousands of San Diegans," Faulconer said. 3993

SAN DIEGO (CNS) - A woman was killed in a chain-reaction crash triggered by a loose dog in lanes of state Route 94 near downtown San Diego today.Three cars were involved in the crash, which was first reported just after 10:30 a.m. on westbound Route 94 near 25th Street.A Ford F-150 owned by the San Diego Humane Society was parked in the median of the freeway with the driver and a passenger still inside, preparing to capture a dog when the animal ran into lanes of traffic, a California Highway Patrol dispatcher told City News Service.Multiple cars stopped and swerved, including a Toyota Camry with three occupants that braked and came to a stop in the No. 1 lane, the dispatcher said.A Dodge truck, also in the No. 1 lane, swerved into the median to avoid the Camry, and was struck in the right rear corner by a GMC Yukon towing a trailer that was unable to stop in time.The force of the impact pushed the Dodge into the Camry, which in turn pushed the Camry into the Humane Society pickup, according to the dispatcher.In the aftermath of the accident, it wasn't immediately clear how many cars were involved, but responding fire crews realized the Camry, which at some point had moved to the right shoulder of the freeway, was also part of the crash and launched a rescue operation for that car's occupants, according to a CHP incident log.A 53-year-old woman in the back seat of the Camry sustained a major head injury and was taken to Scripps Mercy Hospital, where she succumbed to her injuries, the dispatcher said.The woman's identity wasn't immediately released.Three other people, including two from the Camry and one from the GMC, 1652

SAN DIEGO (CNS) - Jury selection is expected to begin Tuesday in the trial of a Yuma police officer accused of raping a 23-year-old woman while off-duty during a visit to San Diego last year. 199

SAN DIEGO (CNS) - County supervisors voted 4-1 today to have the chief administrative officer direct the Health and Human Services Agency to develop a plan for in-house medical care of jail inmates and possible outsourcing of those duties as well.Sheriff Bill Gore will review the plan, and officials will also put out requests for proposals from private contractors to handle those duties.Supervisor Dianne Jacob made the motion to examine both an in-house model and outsourcing.``I don't think we should go with just one approach,'' Jacob said, adding she is a proponent of outsourcing county services, if it results in good service for less money.Gore has cited his department's million annual health care bill for inmates as a reason to explore cost-saving strategies. He asked supervisors to consider possible vendors for the county's health care needs in its jails and other facilities.Gore told supervisors that his goal was simply to get the best care at the best value, with an aging population of inmates and other serious issues.``I am proud of our response to these challenges, but I'm not one to assume that I have all the answer to these challenges,'' Gore said.Gore also objected to waiting 180 days for a staff appraisal of outsourcing. ``If it's a good idea in sixth months, it's a good idea today,'' he added.He also praised the 300 men and women who provide medical care to inmates as outstanding employees.Supervisor Nathan Fletcher, who is opposed to any privatization of services and proposed having HHSA handle inmate care, cast the lone no vote.Before the board voted, Fletcher said outsourcing to a for-profit entity would not lead to a better outcome.``As a board, we are the ones who are on the hook,'' in terms of lawsuits if an inmate doesn't get the appropriate care, Fletcher said. ``We should have input.''Fletcher asked the board to vote on his proposal to have the HHSA administer medical and behavioral health services in jails, but the motion died for lack of a second.Board Chairman Greg Cox said he was encouraged that HHSA would develop its own proposal.Cox praised both county medical employees and contractors for working in such a demanding field, but said the system right now is too bifurcated, adding that several legal items on Tuesday's closed-session agenda involved inmate care.Supervisors voted after a lengthy public hearing, in which nearly every person who called was opposed to private outsourcing. Health care workers mentioned low morale at some detention facilities, and the risks workers are taking during the COVID-19 pandemic.Most speakers identified themselves as members of Service Employees International Union, Local 221. 2697

SAN DIEGO (CNS) - A woman who had more than three times the legal blood-alcohol limit when she crashed her SUV head-on into another vehicle while driving her three young daughters through Rancho Bernardo pleaded guilty Friday to felony child abuse and drunk driving charges. Mayra Alejandra Troncoso, 30, had a .29 percent blood-alcohol content when she drove on the wrong side of Camino del Norte on Nov. 12, 2018. Her SUV crashed head-on into an oncoming 2011 Jeep Liberty, causing severe injuries -- including a skull fracture and a brain bleed -- to her 9-month-old daughter, who was riding unrestrained. The defendant's 2-year-old daughter suffered facial injuries and her 8-year-old child broke a bone. The 57-year-old driver of the other car suffered broken bones, authorities said. RELATED: Mother and children injured in wrong way DUI crash in Rancho BernardoTroncoso was arrested the day after the collision at Palomar Medical Center. Prosecutors say that at the time of the crash, she was on probation and driving on a suspended license due to a 2017 North County DUI, in which she also crashed with at least one of her children in the vehicle. Troncoso is slated to be sentenced on Sept. 23. 1211