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SAN DIEGO (CNS) - The Board of Supervisors today extended a state of emergency over a hepatitis A outbreak in San Diego County that has killed 20 people, amid a declining number of new cases.Health officials told the supervisors at a special meeting that the drop in case numbers is a sign that efforts to fight the outbreak are working.RELATED: Governor Jerry Brown declares state of emergency over Hepatitis A outbreakThey stressed the need for the county to continue vaccination, prevention and educational efforts that have been put in place since the emergency was declared in September. There were 31 confirmed cases of hepatitis A last month, compared to a peak of 94 cases in August.There have been 544 cases as of Monday in the nearly year-old outbreak, an increase of 28 cases since data was last released on Oct. 24, according to Dr. Wilma Wooten, the county's public health officer.She said some of those 28 cases include ones from as long ago as April that were newly confirmed by the U.S. Centers for Disease Control and Prevention. Due to the disease's long incubation period, there could potentially be more confirmed cases from October. Wooten said the initial decline is a good sign, but not a reason to declare victory."We could potentially have a second peak," she said. "That's why it's very important for us to continue our vaccination efforts."In San Diego, nearly two-thirds of the victims have been either homeless, users of illicit drugs or both. Much of the county's efforts have focused on those populations, but Wooten said an outbreak in Michigan that has affected men who have sex with men underscores the importance of targeting that community here.Local efforts include holding vaccination events at LGBT centers and distributing educational information to clinics that serve that community, she said. Around .5 million has been spent by the county to fight the spread of the disease, including administering over 90,000 vaccinations and spreading awareness among the public, according to county documents.Hepatitis A is usually transmitted by touching objects or eating food that someone with the virus has handled or by having sex with an infected person.The disease doesn't always cause symptoms, but for those who do, they could experience fever, fatigue, nausea, loss of appetite, yellowing of the eyes, stomach pain, vomiting, dark urine, pale stools and diarrhea, according to the HHSA.The county and city of San Diego have taken several steps to address the outbreak, including the spraying of a sanitizing formula on streets and sidewalks, the placement of portable hand-washing stations and restrooms in areas where the homeless congregate, and the stepped-up immunization campaign. 2740

SAN DIEGO (CNS) - San Diego County public health officials have reported 445 new COVID-19 infections and four deaths from the illness, raising the county's total to 42,414 cases and 734 deaths.Two women and two men died between Sept. 7 and Sept. 10 and their ages ranged from the mid-50s to late 80s. All had underlying medical conditions.Of the 8,531 tests reported Friday, 5% returned positive, moving the 14-day rolling average of positive tests to 4.5%, well below the state's 8% guideline. The seven-day average number of tests performed in the county is 6,627.Of the total positive cases in the county, 3,278 -- or 7.7% -- have required hospitalization since the pandemic began, and 777 -- or 1.8% -- were admitted to an intensive care unit.County health officials reported no new community outbreaks on Friday, lowering the number of outbreaks in the past week to 13.The number of community outbreaks remains 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.Of Friday's cases, another 32 were tied to San Diego State University, raising the total number of confirmed infected students on- and off- campus to 598 since the fall semester began Aug. 24About 75% of students testing positive live in off-campus housing not managed by the university, with 73% of the cases among the freshman and sophomore classes.The university extended its stay-at-home order for students, directing them to stay in their current residences, except for essential needs, through 9 a.m. Monday. Violations of the order may result in disciplinary action, the college said.Luke Wood, SDSU's vice president for student affairs and campus diversity, said the university was working with a security company to enforce public health code regulations.The City of Chula Vista announced Friday it was distributing 25,000 reuseable cotton masks printed with the city logo and website. Residents can pick up the free masks at the Civic Center and Otay Ranch libraries from 11 a.m. to 6 p.m. Monday through Friday.Chula Vista police, fire, park rangers and open-space personnel will also be distributing the masks when they come into contact with people without masks.A comprehensive outreach strategy to expand testing access for Latino residents and other communities hardest hit by the COVID-19 pandemic was announced Friday by local leaders.The new program will kick off on Monday, with a new testing site at the Mexican Consulate in downtown San Diego at 1549 India St. Starting at 8 a.m., walk-up appointments will be available until 3:30 p.m., according to the announcement from San Diego County Supervisor Nathan Fletcher, Carlos Gonzalez Gutierrez, Consul General of Mexico in San Diego and other local leaders.Just nine days after reopening its campus for in-person classes, Academy of Our Lady of Peace in North Park moved all students to online-only courses Thursday after two students tested positive for COVID-19.Schools throughout San Diego County were allowed to reopen for in- person learning on Sept. 1. Academy of Our Lady of Peace sent a letter to parents Wednesday evening placing the blame on the children at the all-girls Catholic school."We recognize that despite our best efforts the girls are struggling with maintaining the rules of physical distancing both on and off campus," it said. "Effective immediately, we are implementing a pause in our face-to-face learning model and moving to virtual distance learning (while maintaining the same class schedule). This will allow time for the community to separate, practice physical distancing and reflect on the importance and privilege of our time together on the OLP campus."The two confirmed student cases are unrelated, the school said. Students at the school will switch from online education to a hybrid model on Sept. 17, with students attending class two days a week in two separate cohorts separated by last name alphabetically.State guidance declares that if 5% of students or staff in a classroom test positive for COVID-19, it should be closed. Additionally, a school should close if there are multiple cases in multiple classrooms, or if 5% of the student body or staff test positive for the illness.San Diego Unified School District and other school districts in regions disproportionately impacted by COVID-19 have stated they will not return until the pandemic lessens. Before schools were able to reopen, nearly 50 schools -- mostly private and/or religious -- petitioned the county to open early for in-person instruction.State data released Tuesday showed San Diego County losing some ground in its fight against COVID-19, with the number of new cases per 100,000 people reaching 6.9 and the percentage of positive tests at 4.2%, close to slipping into the "widespread" tier like much of the rest of the state.The county is in Tier 2 or the "substantial" tier, the state's second-most strict. With a slight bump in new cases per 100,000, San Diego could find itself closing recently opened businesses.The numbers for the widespread tier -- which every other Southern California county besides Orange County finds itself in -- are 7 or more new cases per 100,000 and more than 8% positive testing. Just one of those above guidelines could be enough to push a county up a tier. 5408

SAN DIEGO (CNS) - The Center for Biological Diversity and Endangered Habitats League filed a joint petition Monday to protect Quino checkerspot butterflies -- now found only in southern San Diego County and southwestern Riverside County in the United States -- under the California Endangered Species Act.The petition, filed with the California Fish and Game Commission, notes that the Quino checkerspot was once one of the most common butterflies in Southern California. But with the rapid spread of urban sprawl, the butterfly has lost more than 75% of its historic habitat and in 1997 was listed as endangered under the federal Endangered Species Act."It's alarming that a butterfly that once filled the skies of Southern California is now only found in pockets of its former range," said Dr. Tara Cornelisse, an insect scientist at the Center for Biological Diversity. "Even more alarming is that some of those few critical patches of remaining habitat are slated to be developed. With insects declining at a frightening rate, we need to protect more habitat for endangered butterflies, not allow it to be carved up piece by piece."The Center for Biological Diversity is an Arizona-based nonprofit organization known for its work protecting endangered species through legal action and scientific petitions. The Endangered Habitats League is a similar organization focused specifically on Southern California.Despite federal protection, the Quino checkerspot butterfly remains at risk due to continued habitat destruction and fragmentation, climate change, nitrogen pollution, invasive species and lack of enforced protections, a statement from the center said.In the past decade, the butterfly has only been observed in 33 of 62 historic sites and only inhabits patches of southern San Diego and southwest Riverside counties, according to the center.It is a subspecies of the Edith's checkerspot butterfly and is distinguished by its checkerboard pattern of white and orange spots on its black wings.According to the activists, several major development projects totaling more than 6,500 acres and President Donald Trump's planned border wall could negatively impact the butterfly's remaining habitat."By first decreasing the butterfly's designated critical habitat and then allowing large-scale development projects within its few remaining strongholds, the Trump administration has failed to protect this endangered butterfly," said Dan Silver, petition coauthor and executive director of Endangered Habitats League. "To have a chance at surviving rampant development and other threats like climate change and invasive species, the Quino checkerspot butterfly urgently needs California state protection."Under the California Endangered Species Act, the California Department of Fish and Wildlife has three months to make an initial recommendation to the Fish and Game Commission, which will then vote on the petition at a public hearing. If the Quino checkerspot butterfly wins protection under the act, the state can enact its own protections. 3058

SAN DIEGO (CNS) - The City of San Diego's Development Services Department announced Tuesday that it will begin accepting permit-ready building plans for the construction of companion units attached to existing single- and multi-family properties.Homeowners can apply for a permit to build one of the units, also called casitas or granny flats, by contacting the Development Services Department.In recent months, the city has sought to make granny flat construction more efficient by making changes like waiving fees and increasing maximum unit size from 700 square feet to 1,200, among other things.RELATED:San Diego homeowners creating rentals by converting garages into apartmentsCity may weigh 'vacancy tax' targeting empty homesWhat does it take to retire at 40?"We're doing everything we can to make it easier and cheaper to build housing here in San Diego," Mayor Kevin Faulconer said. "Granny flats are exploding in popularity thanks to our housing reforms and now residents can build them for less with pre-approved plans that will ensure the permitting process is quick and efficient."The streamlining of granny flat regulations has caused applications for their construction to increase nearly 2,500% since 2016, when the city received 19 applications. Through October, the city has received more than 480 applications this year.To apply, homeowners must ensure their building plan meets the city's submittal guidelines and make an appointment with DSD by calling 619-446-5300 to allow city officials to review the plan. Information on all city permitting and inspection processes can be found at sandiego.gov/development- services/permits-inspections. 1670

SAN DIEGO (CNS) - San Diego County health officials reported another huge jump in COVID-19 cases -- 833 -- but no additional deaths today, bringing the county's total to 65,501 cases, with the death toll remaining at 926.Monday was the sixth consecutive day that more than 600 new coronavirus cases were reported by the county. The 833 cases reported Monday are the second most the county has announced in a single day during the pandemic, following a record high of 1,087 reported Sunday and a then-record 736 Saturday.On Wednesday, a then-record 661 cases were reported in the county -- surpassing the 652 cases reported Aug. 7. Another 620 cases were reported Thursday.The San Diego County Sheriff's Department announced Monday that 55 of 70 inmates in the 1C module of the George Bailey Detention Facility had tested positive for COVID-19.``Fifteen tested negative, but are nevertheless being isolated and monitored due to their exposure,'' said sheriff's Lt. Ricardo Lopez. ``At this time the outbreak is limited to one module, but is the most significant COVID-related event to date in our jail system.''``Our population has been stable near 4,000, however, consideration will be given to conducting additional releases if necessary as we continue to monitor our population and the COVID-19 pandemic,'' he said.County Supervisor Nathan Fletcher said the increasing case numbers are coinciding with surges in hospitalizations and positivity rates.``This is a stark reminder that COVID is real, is spreading and must be taken seriously,'' Fletcher said Sunday. ``At this point, we are pleading with the public to take action to slow the spread: Wear a mask, physically distance, and limit contact with those outside of your household.''Dr. Wilma Wooten, the county's public health officer, added that in the weeks following Halloween, the record case jump is a warning sign that people ``need to follow public health guidance throughout the upcoming holiday season.''The rapid rise in cases comes as state data has landed the county in the most restrictive tier of the state's COVID-19 reopening plan. The restrictions associated with the purple tier went into effect just after midnight Saturday.Many nonessential businesses are now required to move to outdoor-only operations. These include restaurants, family entertainment centers, wineries, places of worship, movie theaters, museums, gyms, zoos, aquariums and cardrooms.The restrictions include closing amusement parks. Bars, breweries and distilleries are able to remain open as long as they are able to operate outside and with food on the same ticket as alcohol.Retail businesses and shopping centers can remain open with 25% of the building's capacity. No food courts will be permitted. Schools are able to remain open for in-person learning if they are already in session. If a district has not reopened for in-person learning, it must remain remote only. Offices are restricted to remote work.Remaining open are essential services, personal care services, barbershops, hair salons, outdoor playgrounds and recreational facilities.The county's demotion from the less-restrictive red tier is the result of two weeks of case rates that exceeded the threshold of 7 per 100,000 residents.In recent weeks, the region had an unadjusted rate well above the purple tier guidelines, but a significant effort to increase the volume of tests had allowed for an adjustment to bring it back to the red, or substantial, tier.In response to rising cases statewide, Gov. Gavin Newsom imposed more restrictive guidelines on Monday that pushed the vast majority of California counties into the restrictive purple tier.Of the total number of cases in the county, 4,212 -- or 6.4% -- have required hospitalization and 960 patients -- or 1.5% of all cases -- had to be admitted to an intensive care unit. 3856

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