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SAN DIEGO (CNS) - San Diego County will remain in the "red" tier of the state's COVID-19 reopening plan, state officials said Tuesday, citing data on the two metrics California uses to adjust counties.The county is reporting 6.9 new daily cases per 100,000 population, just .1 away from the dreaded "purple" tier, the state's most restrictive. San Diego County is also posting a 3.8% positive testing rate for the novel coronavirus -- well within the lower "orange" guideline of the state's four- tier reopening system.This news comes as somewhat of a surprise after increasing COVID-19 numbers appeared to set the county on a path toward slipping into that most restrictive tier -- which would shutter indoor operations for restaurants, movie theaters, houses of worship and gyms, limit retail businesses to just 25% capacity and have major impacts on indoor business for most other industries until the county can improve its numbers.The county Board of Supervisors met multiple times in the last few days to discuss taking potential action should that happen, including legal action. Gov. Gavin Newsom rejected a county effort Wednesday to discount the more than 800 positive tests recorded by San Diego State University since the semester began.The data released Tuesday did factor in SDSU cases. The push to exclude them was an unlikely gambit in the first place, as SDSU is located in a highly residential neighborhood in the heart of the city."We included the San Diego State University numbers we received in all of our calculations," state Health Secretary Dr. Mark Ghaly said. "We've worked closely with San Diego County over the past, not just last week, but really intensely over the last week to make sure we all understood the data and that we understood where the county landed in the framework. There were no concessions made based on their data. And we looked closely at San Diego State, the same way we do all of the other counties across the state."Despite the good news about remaining in the red tier, Ghaly noted that the county is hovering on the brink of being downgraded. The state rules currently state that a county has to be above one of the two metrics -- daily case rate by population and positive test rate -- for two consecutive weeks before it can be moved. To move down to less restrictive tiers, both of those metrics must be below state guidelines for two consecutive weeks. Should the county be placed in the purple tier, it would have to wait a minimum of three weeks before moving back to less restrictive tiers.Ghaly said San Diego County would stay in red for this week, but he could not make any promises for the week after if case numbers rise again."We certainly see a county that is hovering around that threshold between red and purple, but we continue to have conversations about how we at the state can support San Diego, as well as understanding more and more what San Diego is doing around places like San Diego State University to curtail or limit transmission," he said.To facilitate expanded COVID-19 testing at San Diego State University, the county testing site at Mar Vista High School in Imperial Beach will be temporarily closed through Friday. Testing there will resume Sept. 28.Testing capacity at the SDSU Alumni Center at 5250 55th St. is being expanded from 500 to 1,000 tests a day and will be open to the public, students and university staff. The no-appointment site will offer testing from 8:30 a.m. to 4 p.m. through Friday.As of Monday night, SDSU had reported 880 confirmed or probable cases, including two reports of faculty or staff who have tested positive.The San Diego County Board of Supervisors passed a motion Tuesday to show their support for County Public Health Officer Dr. Wilma Wooten in her efforts to work with the state.The board voted to support Dr. Wooten's effort for "the adjudication and revised reopening criteria to accurately reflect the dynamics of the pandemic in San Diego County."Many of the supervisors felt aside from daily cases of COVID-19, other factors like hospitalization rates, the case rate adjustment factor and special circumstances should be considered before rolling back any progress in reopening.It began with Board Vice Chair Jim Desmond making a motion to write another letter to the governor asking for local control in reopening. After discussion, he changed his motion for the board to back Dr. Wooten to work with the state in revising the criteria.The vote passed 4 to 1 with Supervisor Nathan Fletcher dissenting.Though the vote board showed their support for Wooten and her efforts in working with the state, it's unclear if it will lead to any change.County public health officials reported 348 new COVID-19 infections and no new deaths Monday, raising the region's total cases to 44,925 with the death toll remaining at 760.Of the 6,374 tests reported Monday, 5% returned positive, bringing the 14-day rolling average of positive tests to 3.7%.The seven-day daily average of tests is 8,440.Of the total positive cases reported as of Sunday, 3,418 -- or 7.6% -- required hospitalization and 801 -- or 1.8% -- had to be admitted to an intensive care unit.One new community outbreak in a restaurant was confirmed Monday. From Sept. 14-20, 22 community outbreaks were confirmed.The number of community outbreaks remains above the trigger of seven or more in seven days. A community setting outbreak is defined as three or more COVID-19 cases in a setting and in people of different households over the past 14 days. 5544

SAN DIEGO (CNS) - The county's flu death toll inched closer to 70 last week, while lab-confirmed flu cases continued to decline, the county's Health and Human Services announced today.The county received one report of a flu-related death last week, a 74-year-old North County man who had additional medical issues. County health officials did not disclose whether he had received this flu season's vaccine. The county's flu death toll now sits at 68.The county confirmed 86 flu cases last week, down from 114 cases during the prior week. Confirmed flu cases have declined for six consecutive weeks since reaching a season-high of 692 in mid-March. County health officials have now confirmed 9,373 flu cases to date this season."Flu activity in the region continues to wane, but it is still elevated for this time of year,'' said Dr. Wilma Wooten, the county's public health officer.While flu season appears to be wrapping up, county health officials and the Centers for Disease Control and Prevention still strongly advise the annual flu vaccination for everyone 6 months and older, especially in demographics with a heightened risk of serious complications, such as pregnant women, people older than 65 and people with chronic conditions.Flu shots are available at doctors' offices, retail pharmacies, community clinics and the county's public health centers. Residents also can call 211 or visit the county's immunization program website, sdiz.com, for a list of county locations administering free vaccines. 1518

SAN DIEGO (CNS) - San Diego County public health officials have reported 352 new COVID-19 cases and no new fatalities, raising the region's total to 57,102 cases with deaths remaining at 891.Of the 12,879 tests reported Saturday, 3% returned positive with 239 people hospitalized.The county avoided the state's purple tier, the most restrictive, for yet another week on Tuesday, remaining in the less restrictive red tier of the state's four-tiered coronavirus monitoring system.The county's adjusted case rate dropped to 6.5 new daily COVID-19 cases per 100,000 population.According to the California Department of Public Health, the county's unadjusted case rate is 7.4 per 100,000 -- enough to be in the purple tier, which has a floor of 7 per 100,000. However, the high volume of tests the county is able to perform daily allows for an adjustment from the state. This adjustment has kept the county in the red tier for several weeks, saving it from having to shut down nearly all nonessential indoor businesses.The state data, updated every Tuesday, reflects the previous week's case data to determine where counties stand in the state's reopening system.San Diego County did show modest improvement, dropping 0.4 from last week's unadjusted case rate of 7.8. The testing positivity rate continued an upward trend, rising 0.2% from last week to reach 3.5%, but remains low enough for this metric to remain in the orange tier. If a county reports statistics meeting metrics in a higher tier for two consecutive weeks, it will move into that more restrictive tier for a minimum of three weeks.The state's health equity metric, which looks at the testing positivity for areas with the lowest healthy conditions, dropped from 5.5% to 5.1% and entered the orange tier. This metric does not move counties backward to more restrictive tiers, but is required to advance.All students at San Diego State University are under a stay-at-home advisory until 6 a.m. Monday. University officials said the move was made to discourage students from participating in Halloween events in which physical distancing cannot be done. Students were advised to stay home unless they have an essential need.The Escondido Union School District reported two positive cases Thursday at Mission Middle School.District officials were notified of the positive tests on Tuesday, and said the cases were separate.The new cases prompted district officials to advise 25 students, five teachers and three classroom aides to begin a 14-day quarantine.The Vista Unified School District reported four COVID-19 cases last Monday, including two Mission Vista High School students, one Roosevelt Middle School student and one Alamosa Park Elementary School student.On Tuesday, the district confirmed two additional cases -- one at Mission Meadows Elementary School and one at Alamosa Park Elementary School.According to the district's COVID-19 safety dashboard, it has recorded 13 cases since Sept. 8, with nine of those coming after Oct. 20.The VUSD Board voted Tuesday to shut down at least one campus for two weeks starting Thursday as a result of the rising cases. At least 400 students and nearly two dozen staff members have been ordered to quarantine.Mission Vista High School moved to distance learning for at least two weeks starting Thursday, while Alta Vista High School and Roosevelt Middle School also face potential closures. 3408

SAN DIEGO (CNS) - The Nature Index research database announced today that UC San Diego ranks in the top 10 worldwide among institutions researching biomedical science topics.UCSD ranked sixth among the top-200 academic institutions and ninth among healthcare institutions worldwide in biomedical sciences. The university's branch of the Ludwig Institute for Cancer Research also ranked 42nd among the top biomedical science non-governmental organizations in the country.The rankings come from Nature Index, which tracks high-quality scientific research, studies and articles and the institutions with which they're associated. For the biomedical science rankings, Nature Index reviewed55 journals chosen by an unaffiliated group of scientists with articles that span from 2012 to 2018.According to Nature Index Chief Editor Catherine Armitage, biomedical science can describe a variety of research topics such a genetics, microbiology and biochemistry."Biochemistry and cell biology, and genetics are the biggest fields by article count, but microbiology and biomedical engineering, reaping rewards from CRISPR and the microbiome, are the fastest rising among the top 10 fields of research,'' Armitage said.Harvard University topped both lists of healthcare institutions.Stanford University, UC San Francisco, Yale University and University of Pennsylvania rounded out the top five among university-affiliated biomedical science institutions.Worldwide, the National Institute of Health, the Chinese Academy of Sciences, Stanford and Germany's Max Planck Society flanked Harvard."These new rankings reinforce other third-party endorsements of UC San Diego's faculty and the quality of its research,'' UCSD Chancellor Pradeep Khosla said. "Our biomedical researchers continue to discover solutions to theworld's most pressing health issues.'' 1848

SAN DIEGO (CNS) - San Diego County officials Saturday said the availability of respirators and the capacity of Intensive Care Unit beds in the county's fight against the coronavirus has actually grown.Dr. Nicholas Yphantides, the county's chief medical officer, said that when he looked at some data Saturday morning he saw "something pretty remarkable.""The availability of ICU beds and the number of respirators that are available has actually grown," Yphantides said.The doctor said there were many technological innovations going on at local hospitals, such as tele-consultations and call-in nurses.He also wanted to remind the public that ventilators do not run themselves."We are very mindful of our most precious commodity, and that is our health care workers," Yphantides said. At a recent town hall forum, he reminded people that doctors and nurses are human, too,"We are really in the eye of the storm right now," the chief medical officer said. "The hope is that this Category 5 storm can be lessened and become more manageable."Supervisor Nathan Fletcher said he wanted to encourage people to rely on trusted sources of information about the health crisis.The health department will hold another coronavirus briefing on Sunday which will include San Diego Mayor Kevin Faulconer and Fletcher.The number of confirmed cases of coronavirus in San Diego County saw its highest one-day jump yet when the number rose to 131 on Friday, an increase of 26 cases over the previous day."The message is very clear," County Public Health Officer Dr. Wilma Wooten said. "All Californians are being asked to stay at home if you do not need to go out for essential reasons."The increase in cases included 27 people hospitalized, with seven of the cases involving people aged 80 or older. There have been no deaths due to the illness in the county, according to the county health department's latest information.Of the 131 positive cases, 110 are residents of the county -- 18 of them hospitalized; 11 are under federal quarantine, with six of those patients hospitalized; and 10 are non-residents, three of whom are hospitalized. The vast majority -- 99 cases -- of those who have tested positive have been under the age of 60. One individual's age is unknown.Gov. Gavin Newsom issued a statewide "stay-at-home" order Thursday night, advising residents not to leave their homes except for essential needs.Essential services will remain open, including: gas stations, pharmacies, banks, laundromats, and places to obtain food, including grocery stores, farmers markets, food banks, convenience stores, take-out and delivery restaurants.Any other public event or gathering is considered non-essential and is banned under the order until further notice.Health officials have asked local hospitals and laboratories to comply with county orders to report all testing results, positive or negative. A lack of reagent fluids is limiting the number of tests many facilities can complete a day, throwing off regional estimates of testing capabilities.Under the stay-at-home mandate, all gyms and fitness centers are closed and gatherings of 10 or more are barred. The mandate also restricts childcare to "stable" groups of 10 children with one childcare provider.The "stable" vocabulary refers to the same group of 10 children each day and the same provider each day. If a daycare or related business has more than 10 children, each group needs to be in separate rooms and cannot intermingle. Social distancing is encouraged even among the subgroups.The health orders banning gatherings do not apply to public transit, airports or any other mass transportation. The Metropolitan Transit System said it would continue running buses and trolleys at least until March 31 with ramped-up sanitization procedures on vehicles and at stations.All five tribal casinos in the county will remain closed through the end of the month.On Thursday, San Diego County's family resource centers, as well as the housing and community development services office, three of the five locations of the county clerk's office and all treasurer-tax collector offices temporarily suspended in-person services. The closures are intended to help county residents practice social-distancing to stop the spread of COVID-19.Meanwhile, the Ramada hotel in Kearny Mesa announced it will be used as a quarantine site for people potentially exposed to coronavirus.The Ramada by Wyndham San Diego North Hotel & Conference Center located near Kearny Mesa Road, north of Clairemont Mesa Boulevard near state Route 163, will be used by the federal government to house patients under quarantine at Marine Corps Air Station Miramar. The hotel has 151 rooms and will be closed to the public.The patients being transferred from the base to the hotel are experiencing mild or no symptoms, federal authorities said.Fox5 reported the hotel is being monitored by the California Highway Patrol and U.S. Marshals Service. Conditions within the hotel are being controlled to prevent exposure to the public, authorities said.The Disney cruise ship Wonder docked Thursday in San Diego, and none of the 1,980 passengers aboard show any respiratory problems consistent with COVID-19, though one crew member has tested positive for influenza. The passengers continued to disembark Friday.Fletcher said the county had increased the number of available hotel rooms for unsheltered individuals or for those who cannot shelter in place to more than 1,300. Fletcher said Thursday that he and Supervisor Kristin Gaspar were writing a board letter seeking to place a moratorium on evictions in the county, including in unincorporated areas.Fletcher, Faulconer and other local elected officials spoke with the government of Baja California on Thursday to work on cross-border solutions to the global problem of COVID-19.Simon Property Group temporarily closed all its malls and outlets and the closure will last until at least March 29. The group owns several properties in San Diego County, including the Fashion Valley mall and Carlsbad and Las Americas Premium outlets.Students at San Diego State University and University of San Diego were instructed to move out of their dorms amid the coronavirus pandemic.Exceptions included students who can't go home, those without a home to return to and those with known health and safety risks.San Diego Community College District colleges, including City, Mesa and Miramar colleges, have officially closed their campuses. Remote operations for the schools will begin Monday.San Diego County libraries have shifted to curbside pickup and drop- off to encourage residents to practice social distancing while still getting books, music and movies from the library. Residents can use the library's online catalog or call their branch libraries and pick them up between 9 a.m. and 4:30 p.m. weekdays.County Supervisor Greg Cox said more than 200 hand-washing stations had been placed around the county.The Navy closed its Training Support Command center in San Diego last week after a third sailor with ties to the school tested presumptive positive for the novel coronavirus. Two students and an instructor at the school have tested presumptive positive for the illness in the past several days, according to the Navy.The latest sailor with ties to the school to test positive is stationed aboard the USS Essex and had been attending a course at Naval Base San Diego since Feb. 6.Two more sailors, one stationed on the USS Boxer, which is home-ported in San Diego, and the other aboard the littoral combat ship Coronado based at Naval Base San Diego, also tested positive for COVID-19.The schoolhouse where the training occurred will remain closed until further notice. Military health professionals are conducting a contact investigation to see if any additional precautionary measures need to be taken.Three Marines at Marine Corps Air Station Miramar have also tested positive for the virus, leading to new health protections on the base.Kelvin Barrios, a candidate for the San Diego City Council's 9th District, announced on his Facebook page Saturday he had tested positive for COVID- 19."Having ups and downs, with fever, headache and shortness of breath," Barrios said on Facebook. "But still doing OK."And Chula Vista City Councilman Steve Padilla, who tested positive for coronavirus, remained hospitalized after experiencing difficulty breathing. Padilla was admitted to UC San Diego Thornton Hospital on Thursday night and placed on a respirator in its intensive care unit after experiencing worsening symptoms, his daughter, Ashleigh, said in a statement. 8643

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