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SAN DIEGO (CNS) - San Diego County public health officials have reported 381 new COVID-19 cases and three new fatalities, raising the region's total to 56,750 cases and 891 deaths.Of the 12,879 tests reported Saturday, 3% returned positive with 239 people hospitalized. No new community outbreaks were reported.A community outbreak is defined as three or more COVID-19 cases in a setting and in people of different households over the past 14 days.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 four-tiered 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 remain under a stay-at-home advisory. The advisory began at 6 p.m. Friday and will run through Monday at 6 a.m. University officials said the move was made to discourage students from participating in Halloween events in which physical distancing cannot be done. Students are 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 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. 3642
SAN DIEGO (CNS) - San Diego-based medical equipment manufacturer ResMed Corp. has agreed to pay more than .5 million to resolve allegations that it paid kickbacks to suppliers, sleeps labs and other health care providers in exchange for referrals and prescriptions for its products, the Department of Justice announced Wednesday.The government accused ResMed of violating the Anti-Kickback Statute of the False Claims Act by providing free or below-cost medical equipment to companies in several states. Court documents state that ResMed's products -- which treat sleep apnea and other sleep disorders -- were provided to companies that in some cases began writing prescriptions to their patients entirely for ResMed equipment.Prosecutors say some examples of ResMed kickbacks included free home sleep testing devices, free or below-cost positive airway pressure masks and diagnostic machines, and free telephone call center and patient outreach services that allowed the companies to order resupplies for sleep apnea patients.RELATED: San Diego suing SDG&E for allegedly delaying pure water projectThe settlement agreement resolves five lawsuits filed by whistleblowers, who will collectively receive around .2 million out of the total settlement."Paying any type of illegal remuneration to induce patient referrals undermines the integrity of our nation's health care system," said Assistant Attorney General Jody Hunt. "When a patient receives a prescription for a device to treat a health care condition, the patient deserves to know that the device was selected based on quality of care considerations and not on unlawful payments from equipment manufacturers." 1679

SAN DIEGO (CNS) - The Board of Supervisors today voted unanimously to make San Diego County's million Small Business Stimulus Grant program available to all businesses affected by COVID-19 safety restrictions.Supervisors voted to expand the small business relief program via teleconference after hearing an update on the county's efforts to combat the spread of the virus as well as information about future vaccine distribution.They also heard from numerous businesses owners angry over the newest state restrictions mandated by Gov. Gavin Newsom.The restrictions, which went into effect at 11:59 p.m. Sunday, were triggered when intensive-care unit bed availability remained below 15% afterSaturday's daily update, according to the California Department of Public Health. New infections and hospitalizations from the coronavirus have surged in San Diego County, which reported its third-highest daily total of COVID-19 cases on Monday with 1,998.It was the seventh consecutive day with more than 1,000 new cases and the 15th time in the last 18 days. A record 2,287 infections were reported Friday. The cases reported Monday bring the county's cumulative total to 94,169.No new deaths were reported Monday with the total remaining at 1,062. The county has received nearly 0 million in federal CARES Act funding to help residents and businesses since the pandemic started earlier this year.Supervisor Nathan Fletcher, who proposed expanding the business aid, said he understands the impact a regional stay-at-home order has on business owners, and ``expanding this economic stimulus program will provide bridge funding to support them and their workers while the restrictions to slow the spread are in place.''Fletcher, who also serves as co-chair of the county's COVID-19 subcommittee, added that he understands people are frustrated by restrictions, but ``when we go from 200 to 2,000 cases a day, we have to change what we're doing.''Dr. Wilma Wooten, county public officer, told the board that the state of California is anticipating 327,000 doses of a COVID vaccine in mid December, with San Diego County expected to receive 28,275 doses in the state's first round of distribution.``I'm encouraged that our way forward will be seen with vaccinations to (create) herd immunity,'' she said. As she has at other county meetings, Wooten again urged residents to follow guidelines, including washing hands and maintain social distancing.``We can flatten the curve again,'' she said. ``We can come out of this in a way that saves lives.''Many residents who called in during the update's public comment period voiced their frustrations over how the restrictions are harming them, their families and businesses. Along with business closures, the restrictions also apply to certain outdoor facilities, including playgrounds.Paula Steger, co-owner of Artistic Laser Productions, said while it's important for everybody to wear a mask and wash their hands, it's also `` time to go about your daily lives.''She said her business lost ,000 worth of contracts because of restrictions.``I was 7 when the Hong Kong flu hit,'' Steger said. ``The world didn't shut down then, and we got through it. I'm done. I'm going to work wherever I can in a COVID-safe manner.''Dr. Holly Yang, president of the San Diego County Medical Society, reminded residents that the fastest way to reopen the economy is to get the virus under control.``We are at a critical moment -- the majority of the county is doing the best it can to reduce spread of the virus,'' Yang said.A motion by Supervisor Jim Desmond that would allow certain county staff not to enforce closure of playgrounds failed. ``This is for our kids,'' who have a much better tolerance towards the coronavirus, said Desmond, board vice-chairman.His colleague Dianne Jacob said she'd also like to see the playgrounds opened up, but it would be irresponsible of the county to defy state orders.``Whether we like it or not, that's what exists,'' she said. ``Otherwise, that encourages civil disobedience.'' If more residents had complied with basic prevention guidelines, the county wouldn't be dealing with case spikes, Jacob said, adding, ``Just wear the damn mask.''Board Chairman Greg Cox said he was also sympathetic to Desmond's motion, but couldn't support it. Cox said he disagrees with portions of state mandates, but the county is ``in a crisis situation,'' which may get much worse before the start of 2021. 4471
SAN DIEGO (CNS) - The president of the NAACP San Diego Branch Saturday criticized the proposal to de-escalate confrontational law enforcement situations adopted Wednesday by the San Diego County Police Chiefs and Sheriff's Association.The plan calls on all police personnel to "use tactics and techniques to persuade" suspects to "voluntarily comply" and mitigate the need to use increased physical tactics to resolve situations safely, the association said.Francine Maxwell, NAACP San Diego Branch president, issued a statement in reaction to the proposal: "We find this document to be profoundly tone- deaf and utterly inadequate. This document seems to have been prepared inside an echo chamber of highly paid law enforcement officials. Where was the input from the taxpaying public?"The policies unanimously adopted by the group are the culmination of a project that began last June with the creation of a committee tasked with exploring the hot-button issue. The committee included representatives from all countywide municipal police agencies, the San Diego County District Attorney's Office and a local psychiatric emergency-response team.Guiding the development of the new policy was "the overarching principle of reverence for human life in all investigative, enforcement and other interactions between law enforcement and members of the community," according to the association.But Maxwell responded to the proposal by asking, "Where in this document is it affirmed that the purpose of law enforcement is to protect and to serve, not to dominate and control? Where in this document are the policies and procedures needed to reign in the abuse, violence, and death that so regularly occur in citizen interactions with law enforcement?"Maxwell asked the law enforcement group to apologize for and withdraw the proposal, which said argued "does nothing to restore the public's trust and faith." She made a few other recommendations as well, including asking law enforcement to sit down with individuals who have suffered trauma and abuse, and she asked that officials move swiftly to build a new spirit of service and protection into their departments.She said officers who will not change should be removed, "rather than allow them to corrupt another generation of recruits with their aggression and violence."According to the association's strategy, peace officers should consider these concepts:-- Pre-engagements which involve "the process of gathering and assessing information prior to deploying the available personnel, tactics, equipment and other appropriate and obtainable resources" so as to "enhance the probability of a peaceful outcome."-- De-escalation, which hinges on the use of techniques intended "to gain voluntary compliance from an individual in order to gain or maintain control of an incident while reducing the need for physical coercion."-- Disengagement, or "tactical withdraw," an enforcement method that can "be a viable option for individuals in crisis who pose no additional threats to others, or resistant offenders who may later be apprehended under safer conditions."The mission of the project "was to not only define best practices for de-escalation, but to do so collectively to ensure the county is of one mind on the philosophy," said Chula Vista Police Chief Roxana Kennedy, president of the police-leadership body. "As part of this community, we understand the importance of violence prevention whenever possible, and de- escalation techniques are the best way to get there."The association included the law enforcement leadership of the county and all local cities, as well as San Diego Harbor Police, the county Probation Department and the police departments of the San Diego Community College District, San Diego State University, San Diego Unified School District and the University of California San Diego. 3867
SAN DIEGO (CNS) - One person was killed today in a fiery collision near Fairbanks Ranch Country Club.The crash, which involved a big rig and another vehicle, happened at about 12:30 p.m. in the 14900 block of San Dieguito Road in the North City area, according to San Diego police.The accident forced a closure of the roadway in the area to allow for investigation and cleanup, SDPD public affairs Sgt. Matt Botkin said.Further details about the collision were not immediately available. 495
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