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SAN DIEGO (KGTV) -- As coronavirus cases increase across the country, there is a concern about staffing in hospitals across Southern California.Not only are hospitals dealing with patients they typically see during this time of year, COVID-19 patients are adding stress to thinning resources.“If these trends continue, we’re going to have to much more dramatic—arguably drastic—action,” said Governor Gavin Newsom during a news conference on Monday.Currently, 74 percent of ICU beds are occupied in Southern California. State health officials protect it to be at 107 percent capacity by December 24th.“I have a guarded concern about the direction that we’re moving in,” said nurse practitioner Samantha Gambles Farr of the rising cases.Gambles Farr said she is not only worried about staffing numbers, but also the physical and mental health of her colleagues. “The staffing issues have always been something that we've dealt with in the ICU because of the critical acuteness of our patients and the burnout of staff,” she said. ‘In these unprecedented times with COVID in the pandemic, what we're seeing is that nurses are picking up a lot more overtime and shifts.”Early in the pandemic, the state created the California Health Corps. It asked for those with health care experience to help during the COVID-19 outbreak. Thousands, including retired workers and nursing students, volunteered to help. However, only 900 people are currently ready to be deployed, according to a recent story by the Sacramento Bee.In New York. Governor Andrew Cuomo has already asked for help from retired health care workers.“It’s not like we can then call on our colleagues from another state to help us because they’re dealing with the exact same issue,” Gambles Farr said. 1766

SAN DIEGO (KGTV) — As Pfizer’s COVID-19 vaccine begins circulating, there is another big logistical challenge ahead: reminding people to get the second dose.Both vaccines developed by Pfizer and Moderna require two doses spaced several weeks apart. People who get immunized often feel fatigue or soreness shortly after the shot and may experience fever, particularly after the second dose, according to clinical trial data.Doctors say those immediate, short-term side effects are a positive sign the immune system is revving up production.The side effects are similar to that of the shingles vaccine. But studies show about 20 percent of the people who get the shingles vaccine skip the second dose.Experts say if that happens with the COVID vaccines, there could be consequences.The worst-case-scenario is that skipping the second shot could allow the virus to spread and mutate, and potentially build resistance to the vaccines, according to Penn State University biologist David Kennedy.That outcome is considered unlikely, but the World Health Organization announced Monday it detected a new variation of the virus in England, showing the virus is already mutating without the evolution pressure of a mass vaccine program.“Does this make the virus more serious? Does it allow the virus to transmit more easily? Does it interfere with diagnostics? Would it interfere with vaccine effectiveness? These are questions. None of these questions have been addressed yet,” said Dr. Michael Ryan, director of the WHO Health Emergencies Program.When administered in two doses, Pfizer’s vaccine is 95 percent effective at preventing COVID-19 symptoms. The FDA’s review showed the vaccine could be up to 52 percent effective after a single dose, but the data was limited.“I think you could probably say you’re going to have short-lived but incomplete protection,” said vaccine expert Dr. Paul Offit. “Protection from disease but possibly not asymptomatic shedding.”It remains unclear whether people who are fully immunized against the virus can still spread it to others asymptomatically but someone who is only partially immunized may be especially prone to silent spread, according to Offit.When Americans roll up their sleeves to get the COVID-19 vaccine, they’ll get a 4 by 6 inch index card from the CDC noting which brand they got, the lot number, and when they’re due for the second shot.People who get Pfizer’s vaccine need to get a second shot 21 days later. People who get Moderna’s need to wait 28 days for round two.The CDC is encouraging people to photograph their card with their cell phone as a backup, because beyond the index card, the logistics of reminding people about their second dose will vary by state and healthcare provider.In California’s draft vaccination plan from October, the state said it was exploring ways to "systematically text, email, and/or auto-call individuals when their second dose is needed." The California Department of Public Health did not immediately respond to a request for comment about its latest plans.Much of the work may fall to the healthcare providers who administer the shots. Although the vaccine will be free for individuals, the government is paying providers for every first dose they give and for every second dose, a way to incentivize providers to keep close tabs on patients.However, only about 25 percent of the nation’s vaccination providers have systems that can send automated reminders, according to L.J Tan, the chief strategy officer of the Immunization Action Coalition. 3552

SAN DIEGO (KGTV) - As the Valley Fire raged across parts of eastern San Diego County, emergency assistance workers put into action plans they'd been working on for months to handle the dual disaster of a wildfire during a pandemic."It completely changed our approach," says Red Cross Regional CEO Sean Mahoney.The Red Cross has been planning and training for months, knowing this situation would likely arise this fall.Mahoney says their plan included Temporary Evacuation Points instead of group shelters, hotel rooms for people who needed somewhere to stay, grab and go or delivery meals, and an emphasis on sanitation and health screenings to keep volunteers and evacuees safe."We planned for this as much as we possibly could, but exercise is just an exercise. Doing the real thing is where you have those real lessons learned," Mahoney says.During the Valley Fire, the Red Cross assisted 440 people in 174 families. They served around 9,000 meals and snacks.Mahoney says his staff's dedication, along with 107 volunteers who worked 12-hour shifts, helped things go smoothly.But not everything went according to plan. On the first night of evacuations, the Red Cross ran out of hotel rooms, especially for people who had pets. Some evacuees without RVs had to sleep in their cars.Mahoney says the busy Labor Day Weekend, combined with hotel capacity restrictions because of the coronavirus, leads to fewer available rooms.To make sure it doesn't happen again, Mahoney says the Red Cross is already working on backup plans to open limited group shelters, with social distancing put in place to keep people apart. He told 10News they've already scouted hundreds of locations around San Diego.Meanwhile, the San Diego Humane Society also put in new protocols for safety during the pandemic. They helped hundreds of animals during the Valley Fire, and say the most significant challenges were limiting contact with owners and making sure their field teams followed the rules about distancing and wearing masks."The more people you interact with, the more likely you are to come in contact with somebody who is transmitting coronavirus," says Lt. John Peaveler. "So, we've had our biggest safety precautions on that side."Both groups say they'll take all the Valley Fire experience and put it to use in the next disaster. Since wildfire season is just beginning, they're sure it will come in handy. 2405

SAN DIEGO (KGTV) — City officials hope to get the construction process for a proposed downtown park, aimed at being an anchor for San Diego's East Village, off the ground this summer.The proposed 4.1-acre, million East Village Green will sit between F and G Streets stretching from 13th St. to 15th St. The massive stretch of green space in the heart of downtown San Diego will feature an 11,000-square-foot multi-use lawn, plaza and fountain areas, children's garden, 14,200-square-foot community center, dog parks, and room for food facilities, according to development plans.RELATED: Officials to break ground on county's first bike skills park in South BayThe green would also include an underground parking structure for 200 vehicles. "The City will be maintaining and programming East Village Green, and Civic [San Diego] hopes to start the bid solicitation process in late summer," according to Kimberly Moore with Civic San Diego. Plans show an additional multi-use lawn, children's garden, and casual park space in the park's future. Part of the construction process will also involve restoring nearby historic homes, which sit at the corner of F and 15th Streets. RELATED: New park includes San Diego's first public parkour spaceThe city hopes to begin construction by early 2021. Renderings and phase development plans can be seen here.Officials say the park has the ability to serve as a way to give East Village's residents an "engaging and interactive" place for community events and daily use. 1520

SAN DIEGO (KGTV) — California has rejected San Diego County's request for a tier adjustment after the region was moved into the state's purple reopening tier.The county said that "San Diego’s increased cases are not due to the sectors impacted by moving into a more restrictive tier. County has interviewed cases to identify potential exposure settings and tracked community outbreaks."County health officials say businesses that will be impacted by purple tier restrictions saw the following breakdown of COVID-19 cases in October:Restaurant/bars: 7.4% of COVID-19 cases (715 of 9,646)Retail: 6.6% of COVID-19 cases (636 of 9,646)Places of worship: 1.9% of COVID-19 cases (184 of 9,646)K-12 schools: 1.7% of COVID-19 cases (165 of 9,646)Gyms: 0.4% of COVID-19 cases (39 of 9,646)In reference to October's data, the county said that, "outbreak data also show these sectors make up a small percentage of the cases overall ... Penalizing the impacted sectors for case increases is wrong, as these sectors continue to do the right things, while trying to weather the ongoing pandemic and the back and forth of re-openings."The county pointed to many local restaurants as an example of improving its mitigation efforts and investing in materials to make their settings safe for visitors, adding, "additionally, the closure of indoor restaurants, especially during the wintertime where outdoor dining is not optimal, will move individuals into homes and encourage gatherings, which is one of the high-risk areas for cases."Despite the request, the state decided on Sunday that the county will remain in the more restrictive purple tier.COUNTY'S EXPOSURE DATA (Oct. 25 - Nov. 7)According to county public health officials, between Oct. 25 and Nov. 7, there were a reported 5,576 COVID-19 cases.Of those cases, 3,833 cases were interviewed for contact tracing and 2,260 cases reported at least one of the potential exposure settings:Restaurant/bars: 389 casesBeach: 10 casesCasinos: 20 casesGroup gatherings: 159 casesGyms: 18 casesHair salon or barber: 97 casesPlaces of worship: 118 casesProtest: 0 casesRetail: 308 casesWork: 1,314 casesOther: 158 casesThe county says 1,573 of the 3,833 cases reported no potential exposure settings.Of all the cases between Oct. 25 and Nov. 7, the county says that people reported the possible exposure settings:Household exposure: 1,311 casesTravel-related exposure: 814 casesAny education-related exposure: 172 casesThrough Nov. 7, San Diego County has reported a total of 60,169 COVID-19 cases and 908 deaths from the virus. 2566

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