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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 man waiting for an Uber was stabbed in San Diego Sunday morning, according to San Diego police.At 2:08 a.m., a 37 year-old male was waiting for his Uber ride on the corner of 8th Avenue and B Street when he was approached by two female suspects and a male suspect, all in their 20s. The victim began talking to one of the women when she reached into his pocket and stole his cellphone. The suspects ran away and the victim chased them. After he caught up with them, the male suspect turned and jabbed the victim in the right arm.The victim began to bleed and witnessed the three suspects running away and getting into a red Chevy Camaro that fled westbound on B Street. The victim was taken to a hospital with non-threatening injuries.San Diego Police Central Division is investigation. Anyone with information is encouraged to call Crime Stoppers at (888)580-8477. 893

SAN DIEGO (CNS) - Countywide influenza cases hit a season high last week, and three more residents died due to flu complications, county health officials announced Wednesday.The county's Health and Human Services Agency confirmed a total of 616 flu cases last week, beating last week's season-high of 545 cases. The county has confirmed 6,094 flu cases so far this season, compared to 18,137 a year ago.The county's flu death toll now sits at 45 after two men, ages 44 and 33, and a 101-year-old woman died due to flu complications. The county confirmed that all three had additional medical issues, but did not disclose if they had been vaccinated. The county's flu death toll stood at 288 at this time last flu season.RELATED: Is it a cold or a flu? Here are 5 ways you can tell, according to the CDC"Given the high number of cases that continue to be reported, influenza continues to be widespread throughout the community," said Dr. Wilma Wooten, the county's public health officer. "It is not too late to get a flu shot."County health officials and the Centers for Disease Control and Prevention strongly advise the annual flu vaccination for everyone 6 months and older, especially demographics with a heightened risk of serious complications, such as pregnant women, people older than 65 and people with chronic conditions. Recent flu seasons have extended as late into the year as May, according to county health officials.Flu shots are available at doctors' offices, retail pharmacies, community clinics and the county's public health centers. Residents can also call 211 or visit the county's immunization program website, sdiz.com, for a list of county locations administering free vaccines. 1710

SAN DIEGO (CNS) - Another 2,925 of Pfizer's long-awaited COVID-19 vaccines arrived at UC San Diego Health for front line healthcare workers Tuesday morning.The vaccine -- estimated to be 95% effective at preventing COVID-19 -- recently received emergency use authorization from the U.S. Food and Drug Administration. Vaccine distribution is coordinated through the California Department of Public Health and public health departments, governed by recommendations from the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices. Following these recommendations, health care workers are receiving the first available vaccinations."Our goal is to vaccinate as many employees as quickly as possible, depending upon supplies and evolving circumstances," said Patty Maysent, CEO of UC San Diego Health."With subsequent vaccine shipments from Pfizer and as other vaccines, such as Moderna, come online, we will expand the opportunity to vaccinate to all health system employees, our patients and communities beyond. We are determined to do this as safely and effectively, as rapidly and methodically, as we can," Maysent said. "But even with actual vaccinations starting, we must continue to follow all current measures designed to slow viral spread and infection, from masking and distancing to hand washing and signing up for CA NOTIFY."The first doses of the vaccine arrived Monday with San Diego County receiving and storing about 12,000 in subzero freezers to distribute to regional acute health care hospitals. Rady Children's Hospital will also receive vaccines this week.The 28,000 the county will receive in the first Pfizer batch is part of around 327,000 doses California is expected to receive in the first distribution. According to the county, the initial allotment will cover around 72% of what is needed for all identified health care first-tier recipients.Critical care health workers will be the first people to get the vaccine, followed by nursing home and long-term care facility residents and employees. The initial distribution will not be sufficient to vaccinate all people in those populations; however, the state anticipates receiving hundreds of thousand more doses over the next few weeks, followed by weekly allocations starting next year.Once people in these first two groups in are vaccinated and more COVID- 19 vaccine doses are available, they will go to essential workers such as people who work in education, food and agriculture, police officers, firefighters, correctional officers and transportation workers, among others.After that, the priority will be to vaccinate adults with underlying medical conditions and people over the age of 65 because they are at higher risk of developing serious complications from COVID-19.Naval Medical Center San Diego received an unspecified number of vaccines Monday, with front-line medical workers and essential mission personnel -- such as EMS, firefighters and security personnel -- to begin receiving the first dose of the vaccinations Tuesday. Naval Hospital Camp Pendleton took a portion of those doses for personnel north of San Diego and will begin vaccinations Wednesday.Rear Adm. Tim Weber, commander of Naval Medical Forces Pacific, said the number of doses delivered to the Navy in San Diego is likely fewer than the number of "first-tier" medical personnel at the two hospitals. Subsequent vaccine allotments -- as the supply chain dictates -- will allow for the second dose of the vaccine to be administered to medical and other mission-essential workers, as well as those who missed it the first time, Tricare dependents and non-essential personnel.The number of doses delivered to the San Diego-area military is classified, Weber said, calling it an "operational security issue." However, the U.S. government has allocated vaccines to 64 jurisdictions, and the DOD plans to administer its initial allocation of 43,875 doses to populations of uniformed service members -- both active and reserves. That includes members of the National Guard, dependents, retirees, civilian employees and select contract personnel.Capt. Devin Morrison, acting director of Naval Medical Center San Diego, said vaccines for military personnel will be voluntary until the FDA's emergency use authorization is lifted, at which time military personnel will follow DOD guidelines. Military personnel, including medical workers, can refuse the vaccine until then and will continue to operate with strict personal protective equipment standards, Morrison said. 4565

SAN DIEGO (CNS) - Confirmed flu cases in San Diego County are well behind the rate of confirmed cases during last year's flu season, according to county health officials.The county has confirmed 189 flu cases so far this flu season compared to 441 cases at this time last year. According to county public health officer Wilma Wooten, flu cases usually increase during the holidays due to increased traveling and large family gatherings."Holiday gatherings and celebrations bring people together in large groups raising the possibility of people getting sick and making others ill," Wooten said. "Get a flu shot before the flu starts to spread and so that you are protected during the holidays."The county's weekly influenza report found 33 lab-confirmed flu cases for the week of Nov. 4-10. Only one county resident has died due to flu complications this season, compared to three at this time last flu season. Flu complications killed 342 people in San Diego County last season, the highest total since the county began tracking flu deaths roughly 20 years ago.The county and the Centers for Disease Control and Prevention recommend that everyone 6 months or older get vaccinated against the flu each year. It is especially important for those at risk of serious complications, such as pregnant women and people with chronic medical conditions, to get the vaccine. Residents should also wash their hands regularly, stay away from sick people and clean surfaces that are touched often.The flu vaccine is available at doctors' offices, local retail pharmacies, community clinics and the county's public health center. Residents can call 2-1-1 or visit the county's immunization program website, sdiz.com, for a list of county locations that are administering the flu vaccine free of charge. 1802