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SAN DIEGO (CNS) - San Diego County public health officials have reported 540 new COVID-19 infections and one new death related to the illness, raising the region's total to 59,656 cases and 908 deaths as the county continues to await news on whether it will sink into the dreaded purple tier of the state's four-tiered COVID-19 reopening plan.State officials reported Wednesday that San Diego County had an unadjusted new daily coronavirus case rate of 8.7 per 100,000. The adjusted case rate had dropped to 7.4 per 100,000, above the baseline of 7, qualifying the state for the purple, or most restrictive tier of the reopening plan. Last week's unadjusted case rate was 7.8 per 100,000.According to the reopening plan, a county has to report data exceeding a more restrictive tier's guidelines for two consecutive weeks before being moved to that more restrictive tier. A county then has to be in that tier for a minimum of three weeks before it may move to a less restrictive tier.San Diego County has been in the red tier for months, skirting but ultimately avoiding the purple tier, which would necessitate the closure of almost all indoor operations of nonessential businesses. Recent trends have shown a slow but steady increase in infection numbers.If the county cannot drop its adjusted daily case rate below 7 per 100,000, indoor operations in locations such as restaurants, museums, places of worship, breweries and retail businesses will have to either close entirely, move to outdoor operations only or modify in other ways.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.Dr. Wilma Wooten, the county's public health officer, said retail operations, including indoor shopping centers, will be limited to 25% of building capacity, down from the current 50%. Schools, unless they have already restarted in-person learning, will be restricted to distance learning. K-12 schools already in session can continue, Wooten said."Cases are increasing in the region and it is vital that we take this virus seriously and recommit ourselves to the strategies that are proven to work," she said Thursday. "Wear a face covering when you go out in public, stay six feet away from others and avoid crowds and large gatherings."The county's testing positivity rate actually improved, declining 0.3% from last week to reach 3.2%, but remains high enough for this metric to remain in the orange tier.The state's health equity metric, which looks at the testing positivity for areas with the least healthy conditions, increased from 5.1% to 5.3% and entered the red tier. This metric does not move counties backward to more restrictive tiers, but is required to advance.The state data reflect the previous week's case data to determine where counties stand. The next update will be Tuesday. 2970

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) - San Diego County Credit Union announced Thursday it will join with partners to collect school supplies for students experiencing homelessness.Teaming up with the San Diego County Office of Education and iHeartMedia radio stations, the annual "Stuff the Bus" school supplies campaign supports Live Well San Diego. The San Diego County Board of Supervisors launched the program in 2010 with the goal of "achieving healthy, safe and thriving communities across the region by partnering with community and city leaders, schools, businesses, nonprofit organizations and residents.""Families and youth experiencing homelessness need resources and assistance more than ever during this uncertain time," said Susie Terry, a coordinator of youth homeless services at the office of education. "This drive will allow us to lighten the load for these families in one small way. Over the past few years, we have heard from our local schools how much it means to the families to receive these supplies."Homelessness for school-age children can mean living in a shelter, sharing a residence with multiple families, living in a car or trailer in San Diego County or sharing a room in an apartment with relatives. Homelessness is not limited to urban, downtown San Diego, it also affects suburban school districts all over the county."We encourage the entire San Diego community to support this effort and donate to help set these children up for success in the new school year. We are proud to once again partner with the San Diego County Office of Education and iHeartMedia to help make a big difference in the lives of homeless students throughout the county," said Teresa Campbell, SDCCU president and CEO.Monetary donations will be accepted online through July 31. Donations are also accepted online at iHeartMedia San Diego radio stations Star 94.1, Channel 93.3, JAM'N 95.7 and KOGO AM 600 through August 1. For more information or to donate online, go to sdccu.com/donate. 1989

SAN DIEGO (CNS) - The San Diego County Health and Human Services Agency is working in close collaboration with MiraCosta College and San Diego City College officials to notify people who were possibly exposed to tuberculosis in two unrelated cases.The period of possible exposure at the MiraCosta College Community Learning Center, 1831 Mission Ave, Oceanside, was from August 20, 2018 to November 15, 2018. No-cost testing will be offered to identified students on December 12, 2018 from 5:30 p.m. to 7:30 p.m. at the Community Learning Center campus.The potential exposure at San Diego City College, 1313 Park Blvd, San Diego, was from September 14, 2018 to October 10, 2018. No-cost testing for identified students will take place on Thursday, December 13, 2018 from 6:00 p.m. to 8:30 p.m. at the college.For both exposures, identified faculty and staff will be tested by their respective occupational health programs.“Symptoms of active tuberculosis include persistent cough, fever, night sweats and unexplained weight loss and can be treated and cured with medication,” said Wilma Wooten, M.D., M.P.H., County public health officer. “Most people who are exposed do not become infected but those who are can prevent disease by taking medication.”For people with symptoms of TB, or who are immune-compromised, it is important that they see their medical provider to rule out TB.If you would like more information on this potential exposure are asked to call: MiraCosta College Community Learning Center at (760) 795-6675San Diego City College at (619) 388-6922County TB Control Program at (619) 692-8621The number of annual TB cases in San Diego County has decreased since the early 1990s and has stabilized in recent years. There were 258 cases reported in 2016 and 237 in 2017. To date, 188 cases have been reported in 2018. 1838

SAN DIEGO (CNS) - The aircraft carrier USS Nimitz and elements of the Nimitz Carrier Strike Group deployed from San Diego Monday in support of global maritime security operations, Navy officials announced.Prior to departing, the strike group completed a composite training unit exercise called COMPTUEX, which is designed to fully integrate units of a carrier strike group while testing its ability as a whole to carry out sustained combat operations from the sea.Ships, squadrons and staffs have been tested across every core warfare area within their mission sets through a variety of simulated and live events, including air warfare, strait transits, and responses to surface and subsurface contacts and electronic attacks, according to U.S. Third Fleet public affairs."The carrier strike group team is trained and ready," said Rear Adm. Jim Kirk, commander of the strike group. "The men and women of Carrier Strike Group 11 have demonstrated exceptional tactical and technical expertise, teamwork and toughness. We are honored to answer the call and operate forward."In addition to conducting maritime security operations whenever and wherever called upon, strike-group units will participate in cooperative engagements, multilateral exercises and unit-level training designed to improve capability and capacity among Navy units and partner nations in the regions they may operate in.All personnel assigned to the group completed a minimum 14-day quarantine ashore and were tested for COVID-19 prior to getting underway with their respective units. Sailors assigned to Nimitz completed a 27-day fast cruise aboard the ship which also included their testing period for the virus.In addition to the Nimitz, deploying units include Carrier Air Wing 17, Ticonderoga-class guided-missile cruiser USS Princeton and Destroyer Squadron 9, which includes Arleigh Burke-class guided-missile destroyers USS Sterett and USS Ralph Johnson.Sterett departed Naval Base San Diego on Thursday, Princeton steamed out on Saturday and Ralph Johnson is scheduled to leave Tuesday, according to the Navy. 2094