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SAN DIEGO (CNS) - According to state data released Tuesday, San Diego County will remain in the second, or red, tier of the state's four-tier COVID- 19 reopening plan for at least another week.The county's state-calculated, adjusted case rate is 6.5 new daily infections per 100,000 people, down from last week's 6.7. The unadjusted case rate is down to 7 from last week's 7.2. Because San Diego County testing levels were above the state median testing volume, the county's adjustment level was decreased.On the last two Tuesdays, the county narrowly avoided being pushed back into purple tier, the most strict in the state's reopening plan. The state- set threshold of case rate to avoid the purple tier is below 7 per 100,000.To move into the less-restrictive orange tier, a county must have a rate below 3.9 per 100,000 people.County public health officials reported 161 new COVID-19 infections and three deaths on Tuesday, raising the region's totals to 48,821 cases and 806 deaths.Two men and one woman died between Oct. 2 and Oct. 4, and their ages ranged from mid-50s to early 80s. All had underlying medical conditions.Of the 8,788 tests reported Tuesday, 2% returned positive, bringing the 14-day rolling average percentage of positive cases to 2.9%. The seven-day daily average of tests was 9,277.Of the total number of cases in the county, 3,602 -- or 7.4% -- have required hospitalization and 833 -- or 1.7% of all cases -- had to be admitted to an intensive care unit.None of the 224 cases reported Monday were connected to San Diego State University, but two previously reported confirmed cases are now associated with the school outbreak, bringing the total number of SDSU cases to 1,136, according to public health officials.Those two cases were previously reported to the San Diego County Health and Human Services Agency, but only recently identified -- through continued cross-referencing between SDSU and the HHSA -- as having an SDSU affiliation.A total of 407 on-campus students, 707 off-campus students, 9 faculty or staff and 13 visitors have either confirmed or probable positive COVID-19 diagnoses. Officials said 53 of the total are considered "probable."SDSU announced last Wednesday that it was extending a pause on in-person courses through Oct. 12. Effective that day, a limited number of courses will resume in person. Most of those courses are upper-division or graduate level, and have been "determined by faculty and academic leaders to be essential to student degree completion, licensure, and career preparation," university officials said in a statement.About 2,100 students will be enrolled in an in-person course. Prior to the in-person pause, 6,200 students were enrolled in an in-person course.In the seven-day period from Sept. 28 through Sunday, 20 community outbreaks were confirmed, well 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.A COVID-19 testing site opened this week in Chula Vista, offering 200 daily tests, five days per week.The drive-up site will provide free, no-appointment diagnostic tests from 12:30 p.m. to 8 p.m. Sunday through Thursday at the South Chula Vista Library, located at 389 Orange Avenue. The COVID-19 tests take about 5-10 minutes and the results come back in about three days.The county has expanded its total testing sites to 41 locations, and school staff, including teachers, cafeteria workers, janitors and bus drivers, can be tested for free at any one of those sites. A rotating testing program with the California Department of Forestry and Fire Protection was in the works for schools in the county's rural areas.There are no state testing requirements for children, but all school staff who interact with children must be tested every two months. If schools were to open before San Diego County headed to a more restrictive tier in the state's monitoring system, they would not be affected. However, if a move to a different tier happened before schools opened for in-person learning, it would change the game plan, county Supervisor Nathan Fletcher said.If parents want to test their children for the illness, they have options, including Rady Children's Hospital, through Kaiser Permanente or through the 41 sites the county manages. Children as young as 6 months can be tested at the county-run sites. 4449

SAN DIEGO (CNS) - Eight more flu deaths were reported last week in the San Diego region, the county Health and Human Services Agency announced Wednesday.There were 264 lab-confirmed cases in total, a slight increase over the 257 cases reported the week of March 25. Emergency room visits by people with flu-like symptoms dropped from 3 percent to 2 percent over the same span, however.Overall, there have been 334 influenza-related deaths in San Diego County this season, compared to 82 during the same period last flu season.Victims have ranged in age from 1 to 101, and most had underlying medical conditions."Unfortunately, influenza-related deaths are still being reported, a sign that the flu continues to take a toll on the region," said Dr. Wilma Wooten, the county's public health officer . "While influenza activitypersists, people should continue taking precautions to avoid getting sick, especially getting vaccinated."The high number of deaths this season is related to unusually severe strains of the virus but also improved tracking by local medical communities, according to the county. Overall, there have been 20,404 lab-confirmed cases this season, compared to 5,292 cases this time last year.The Centers for Disease Control and Prevention reminds people that it isn't too late to get vaccinated against the flu. In addition, health experts recommend frequent hand-washing, use of hand sanitizers, avoiding contact with sick people and cleaning commonly touched surfaces.Those with high risk to develop serious flu symptoms include people with chronic medical conditions, pregnant women and people 65 or older. 1636

SAN DIEGO (CNS) - A major highway connector ramp in San Diego's Stockton neighborhood will be closed for guardrail repairs for several hours Wednesday morning, according to Caltrans. 190

SAN DIEGO (CNS) - A San Diego physician already facing a federal mail fraud charge for allegedly selling a false COVID-19 cure has been indicted on new charges of impersonating one of his employees to obtain hydroxychloroquine, making false statements to investigators and importing what he believed was hydroxychloroquine smuggled out of China, the U.S. Attorney's Office announced Thursday.Dr. Jennings Ryan Staley, 44, who formerly operated Skinny Beach Med Spas in and around San Diego, was indicted on the latest charges Wednesday by a federal grand jury. In addition to mail fraud, he's now charged in a superseding indictment with importation contrary to law, making false statements, and aggravated identity theft.Staley was originally charged earlier this year for allegedly marketing and selling pricey "COVID-19 treatment packs," described as a "concierge medicine experience" priced as high as ,995 for a family of four. Prosecutors allege he paid roughly per tablet of hydroxychloroquine included in the kits.The U.S. Attorney's Office said Staley's marketing materials stated customers should "NOT BELIEVE THE REPORTS THAT HYDROXYCHLOROQUINE DOESN'T WORK!" and he allegedly told an undercover FBI agent who posed as a customer that the purported treatment was a "magic bullet" and a "miracle cure."When asked whether the treatment kit would cure someone infected with COVID-19, he allegedly said, "One hundred percent," but later denied ever making the claim.The U.S. Attorney's Office alleges he tried to solicit investments for his COVID-19 cure venture, telling one customer and prospective investor that he sought a ,000 minimum investment and aimed to raise 0,000 total. He allegedly promised the customer that she would be repaid "triple your money in 90 days."Prosecutors allege Staley obtained hydroxychloroquine pills in several ways, including by soliciting them from acquaintances and employees with preexisting hydroxychloroquine prescriptions, and writing prescriptions for immediate family members and acquaintances to get the drugs "by any means necessary."He allegedly wrote a fake hydroxychloroquine prescription using the name, date of birth and prior home address of one of his employees, and took the prescription to multiple pharmacies in an attempt to obtain the drug. He also allegedly pretended to be her while ordering pills online.The U.S. Attorney's Office said Staley falsely claimed to investigators that the employee had allowed him to use her pre-existing medical condition to get hydroxychloroquine tablets.Staley also allegedly tried to obtain hydroxychloroquine through a Chinese supplier by lying to customs officials about a shipment coming into the U.S.While Staley believed the mislabeled "yam extract" package contained hydroxychloroquine powder, it actually only contained baking soda, the U.S Attorney's Office said.Prosecutors say he planned to make his own hydroxychloroquine tablets using the powder he believed he'd obtained."People must be able to trust their doctors to offer honest medical advice instead of a fraudulent sales pitch, especially during a global pandemic," said U.S. Attorney Robert Brewer. "Medical professionals who lie about their treatments to profit from a desperate, fearful public will face criminal charges and serious consequences like any other lawbreaker."Staley is due back in a San Diego federal courtroom on Dec. 17. 3426

SAN DIEGO (CNS) - A man was fatally shot just outside his family's home in the Paradise Hills community of San Diego, a police lieutenant said Saturday.The shooting occurred around 10:35 p.m. Friday outside a home in the 2400 block of Calle Gaviota, said Lt. Anthony Dupree of the San Diego Police Department. Dupree said the shooting victim's family reported to police that the man went outside the home, and a short time later, relatives heard gunshots.Family members went outside and saw the victim down. A witness reported seeing a man wearing dark clothing running from the area after the shots were heard, Dupree said.Paramedics took the man to a hospital, where he was pronounced dead, he said.The San Diego Police Department asked anyone with any information regarding the shooting to call them at 619-531-2293. 827