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SAN DIEGO (CNS) - San Diego County will remain in the red tier of the state's four-tier COVID-19 reopening plan for at least another week, the California Department of Public Health confirmed Tuesday.The county's state-calculated, adjusted case rate is 6.8 daily infections per 100,000 residents, up from 6.7 the previous week. The unadjusted case rate was 7.2, up from 7 last Tuesday. The adjusted rate is due to San Diego County's high volume of tests, but still leaves the county on the precipice of the state's most restrictive tier -- purple.The testing positivity percentage is 3%, considerably less than last week, and that number would qualify for the third -- or orange -- tier.To remain in the red tier, the county must continue to have an adjusted case rate of less than 7.0 per 100,000 residents and a testing positivity percentage of less than 5%.A new metric the state released Tuesday is the health equity metric, which finds the positivity rate of the county's least healthy quartile. San Diego County's health equity is 5.7%, almost double the county's average positive testing percentage.According to the state guidelines, the health equity will measure socially determined health circumstances, such as a community's transportation, housing, access to health care and testing, access to healthy food and parks.Neighborhoods are grouped and scored by U.S. Census tracts on the Healthy Places Index, https://healthyplacesindex.org/. Some of the unhealthiest neighborhoods include Logan Heights, Valencia Park, downtown El Cajon and National City.According to county data, the county's health equity testing positivity percentage is 6.2 and is in the red tier. Wooten said that complicated metric will be explained this week when the state releases an official "playbook" of how it is calculated and what it means to communities throughout the state as they attempt to reopen.The metric will be used to determine how quickly a county may advance through the reopening plan, San Diego County Public Health Officer Dr. Wilma Wooten said last Wednesday.A community can only be as well as its unhealthiest quartile, she said, and while counties with a large disparity between the least and most sick members of a community will not be punished for the disparity by sliding back into more restrictive tiers, such a disparity will stop counties from advancing to less-restrictive tiers.To advance to the orange tier, the county would need to report a metric of less than 5.3%.The California Department of Public Health will update the county's data next Tuesday, Oct. 20.County public health officials reported 195 new COVID-19 infections on Monday, raising the total to 50,746 cases. The number of deaths in the region from the illness remains at 826.Of the 7,573 tests reported Monday, 3% returned positive, bringing the 14-day rolling average percentage of positive cases to 2.9%. The seven-day daily average of tests was 10,424.Of the total number of cases in the county, 3,692 -- or 7.3% -- have required hospitalization and 854 -- or 1.7% of all cases -- had to be admitted to an intensive care unit.One new community outbreak was reported Monday in a restaurant/bar setting. In the past seven days, 46 community outbreaks were confirmed, well above the trigger of seven or more in a week's time. 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.Over the weekend, the county allowed private gatherings of up to three households, based on the state's new guidance issued Friday.The gatherings must take place outdoors. If at someone's home, guests may go inside to use the bathroom. Participants in a gathering need to stay at least six feet apart from non-household members and wear face coverings. Gatherings should be kept to two hours or less, the new guidelines state. 3892

SAN DIEGO (CNS) - The city of Chula Vista held a ceremony Tuesday to mark its designation as the first "Certified Welcoming City" in California.The national nonprofit Welcoming America grants the Certified Welcoming honor to cities and local governments that meet its standards for inclusion of immigrants.Chula Vista officials raised the city's new Welcoming City flag to celebrate the designation and the city's immigrant community.RELATED: City of San Diego hires its first-ever Immigrant Affairs Manager"I am so proud of our staff, community leaders and partner agencies for contributing to efforts that support and celebrate our immigrant communities," Chula Vista Mayor Mary Casillas Salas said. "It is an honor to be the first in California to be designated a Certified Welcoming City."In its 2019 list of cities that integrate immigrants well, the New American Economy coalition ranked Chula Vista as the second-best city in the country for immigrants behind Chicago.The list ranked cities on a number of factors, including socioeconomic outcomes and policies and programs that support immigrants. According to the city, more than 13% of immigrants living in Chula Vista are entrepreneurs and more than 22% had at least a bachelor's degree, as of 2017.RELATED: City of San Diego set to open third homeless storage facilityThe designation will last for three years. The city's Human Relations Commission will prepare progress reports on how Chula Vista can continue to evolve in support of local immigrant communities."As a border community, Chula Vista's commitment to creating an inclusive environment is a model for other pragmatic leaders who want their communities to engage in the global economy and ensure that residents of all backgrounds -- including immigrants -- can thrive and belong," Welcoming America Executive Director Rachel Peric said. 1868

SAN DIEGO (CNS) - Prosecutors Friday announced charges against 10 alleged members of a San Diego auto insurance fraud ring, who are accused of buying damaged vehicles and staging car thefts in order to collect more than 0,000 in fraudulent claims.The defendants -- four were arrested this week, while a half-dozen others remain at large -- are accused of buying already-damaged vehicles with high mileage, then submitting false damage or theft claims, defrauding a dozen insurance companies in the process, according to prosecutors and the California Department of Insurance.Investigators allege the suspects filed about three dozen false claims over the course of four years, with 56 vehicles used in the alleged scheme. Some of the vehicles' odometers were rolled back to increase their value before being damaged or reported stolen, according to prosecutors, who allege the defendants also damaged some of the vehicles themselves after insuring them.RELATED: NFL game result may have fueled Fallbrook vandalism, destruction of truckA tip to the District Attorney's Office sparked the investigation -- dubbed Operation Dealer's Choice -- that led to the arrests of four of the alleged ring's members on Thursday. Michael Cusi, 32, of San Diego, Jessica Herrera, 36, of Imperial Beach, Mylipsa Santos, 23, of San Diego, and Daniel Santos, 24, of San Diego are scheduled to be arraigned Friday afternoon at the downtown San Diego courthouse.Charges have also been filed against the six defendants who remain at large: Luis Cardona, Jr., 26, of National City; Francisco Javier Rodriguez, 33, of Chula Vista; Jesus Herrera, 34, of Spring Valley; Betsy Guadalupe Matteoti, 35, of San Diego; Ramon De Jesus Hernandez, 56, of San Diego; and Felipe Cardona Villareal, 25, of Tampa, Florida."The alleged scam we uncovered in Operation Dealer's Choice was a bad deal for drivers who have to pay more through higher premiums as a result of insurance fraud," said state Insurance Commissioner Ricardo Lara. 2007

SAN DIEGO (CNS) - San Diego County public health officials reported a record 1,546 COVID-19 infections today, the 14th consecutive day that more than 600 new cases were reported, along with 16 additional deaths.The county's coronavirus death toll now stands at 984, and the cumulative case total rose to 74,361.The previous one-day case record was last Saturday, when 1,478 new COVID-19 cases were logged, topping the previous record of 1,091 set Friday. On Sunday, 939 new cases were reported.San Diego County fell deeper into the most restrictive purple tier of the state's four-tiered reopening plan Tuesday with an unadjusted 21.5 new COVID-19 cases per 100,000 population. Even with an adjusted rate of 13.1 per 100,000 due to significant testing increases by local health authorities, that number far exceeds the strictest tier's baseline of seven daily cases per 100,000.A total of 17,329 tests were reported Tuesday and 9% of those came back positive, raising the 14-day rolling average of positive tests to 5.3%.The number of patients hospitalized with COVID-19 continues to rise, with 518 hospitalized in the county and 151 in intensive care, more than double the numbers of a month ago.Of the total number of cases in the county Tuesday, 4,435 -- 6% -- have required hospitalization and 1,002 patients -- 1.3% of all cases -- had to be admitted to an intensive care unit.A total of 15 new community outbreaks were confirmed Tuesday. Over the previous seven days, 73 community outbreaks were confirmed. 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.San Diego County Public Health Officer Dr. Wilma Wooten advised caution as the Thanksgiving holiday looms.``There should be a small number of people and gatherings should be short in duration,'' she said. ``We are asking people to please follow the public health guidance to provide a safe experience for everyone attending the gathering.'' 1998

SAN DIEGO (CNS) - Scripps Health Thursday announced that five nurses were sent to Northern California to provide medical care for victims and evacuees of the Camp Fire.The nurses are members of the Scripps Medical Response Team and will work at an evacuation center in Chico during their week-long deployment. The California Emergency Medical Services Authority requested that Scripps send medical responders and will oversee the nurses, swearing them in as state 471