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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) - Hanukkah, Judaism's eight-day commemoration of the temple rededication that followed the Maccabees' victory over a larger Syrian army, begins at sundown Thursday evening, with socially distant and virtual events replacing public menorah lighting ceremonies because of coronavirus-related restrictions.Hanukkah runs through Friday, Dec. 18 this year.At 5 p.m. Thursday, Liberty Station -- in partnership with The Chabads of Downtown San Diego and Pacific Beach -- will host a public menorah lighting at Liberty Station's Central Promenade to commemorate the first night of Hanukkah. The family-friendly festivities will feature music and the traditional lighting of the menorah.Entertainment includes Cyr Wheel Acrobats and Fire Dancers, packaged treats and the traditional lighting of the menorah. The Central Promenade has 20,000 square feet of space in which to spread out and socially distance. The organizers ask guests in attendance to stay masked when not eating or drinking.The largest regional event for the religious holiday will be a drive-in concert at the Del Mar Fairgrounds at 4:30 p.m. Monday, when all The Chabad Centers of San Diego County will host their Chanukah Spectacular, featuring a Grand Menorah lighting, Chanukah gifts and musical performances headlined by Israeli pop star Gad Elbaz.Tickets are available at https://www.eventbrite.com/e/chanukah-spectacular-featuring-israeli-pop-star-gad-elbaz-tickets-129094096919.Once the Jews defeated the Hellenist Syrian forces of Antiochus IV in 165 B.C. at the end of a three-year rebellion, the temple in Jerusalem, which the occupiers had dedicated to the worship of Zeus, was rededicated by Judah Maccabee, who led the insurgency begun by his father, the high priest Mattathias.According to the story of Hanukkah, Maccabee and his soldiers wanted to light the temple's ceremonial lamp with ritually pure olive oil as part of their rededication but found only enough oil to burn for one day. The oil, however, burned for eight days in what was held to be a miracle.Hanukkah -- which means "dedication" in Hebrew -- is observed around the world by lighting candles in a special menorah called a Hanukkiah each day at sundown for eight days, with an additional candle added each day.The reason for the lights is so passersby should see them and be reminded of the holiday's miracle.Hanukkah begins on the 25th day of Kislev, the ninth month of the Hebrew calendar. The Hebrew calendar is lunar, as opposed to the solar Gregorian calendar.Other Hanukkah traditions include spinning a dreidel, a four-sided top, which partially commemorates a game that Jews under Greek domination are believed to have played to camouflage their Torah study, and eating foods fried in oil, such as latkes, pancakes of grated raw potatoes and jelly doughnuts.Children receive Hanukkah "gelt" (the Yiddish word for money) from parents and grandparents. The tradition originated with 17th-century Polish Jews giving money to their children to give their teachers during Hanukkah, which led to parents also giving children money.In the United States, the practice has evolved into giving holiday gifts to children and others.Unlike on the High Holy Days of Rosh Hashana -- the Jewish new year -- or Yom Kippur, the Day of Atonement -- observant Jews are permitted to work and attend school during Hanukkah, the only Jewish holiday that commemorates a military victory. 3440

SAN DIEGO (CNS) - County health officials today reported the death of a San Diego County man due to flu complications, bringing this flu season's death toll in the region to seven.The 73-year-old man died due to influenza A complications on Dec. 16, according to the county's Health and Human Services Agency.The man's vaccination status and medical history are still being investigated. The other six county residents who have died this season had additional medical conditions and either weren't vaccinated or their vaccination status was unknown."Influenza can be deadly, especially for the elderly and people with chronic medical conditions," said Dr. Wilma Wooten, the county's public health officer. "Getting a flu shot is the best way to prevent getting sick."At this time last year, 11 county residents had died due to flu complications. Last flu season was the county's worst in nearly 20 years of collecting data, with 342 residents succumbing to flu complications. Residents over the age of 65 with underlying medical conditions accounted for much of that death toll, according to the county.According to the county's weekly flu report for Dec. 16-22, lab- confirmed flu cases rose for the fourth consecutive week, from 290 to 410. That jump is a far cry, however, from the same week last flu season when reported cases spiked to 2,332. To date, 1,339 flu cases have been reported and lab- confirmed this flu season."While we're seeing fewer flu cases this season, everyone 6 months and older should get vaccinated since the flu season could last through April and even May," Wooten said.In addition to residents 6 months and older, county health officials and the Centers for Disease Control and Prevention strongly advise the annual flu vaccination for people with a heightened risk of serious flu complications, like pregnant women, people older than 65 and people with chronic conditions like asthma and diabetes.County residents can get vaccinated at doctors' offices, retail pharmacies, community clinics and the county's public health centers. 2070

SAN DIEGO (CNS) - A woman was seriously injured when she crossed into the path of an oncoming car in Linda Vista, police said Saturday.A 72-year-old woman had just gotten off a bus at a stop on Linda Vista Road near Tait Street around 5:20 p.m., according to San Diego Police Officer Robert Heims. She walked to a marked crosswalk and began to walk across the street against the signal, Heims said.At the same time, the driver of an approaching Toyota did not stop for the pedestrian and hit her, Heims said.Paramedics were dispatched and the pedestrian was taken to a hospital. She suffered extensive head injuries, Heims said.Police don't believe drugs or alcohol were factors in the crash. 700

SAN DIEGO (CNS) - A proposal to add a fenced-in, off-leash dog park and walking trails at Fiesta Island in Mission Bay Park was vetted Thursday by the San Diego City Council's Environment Committee, which unanimously voted to send to the full council.The committee considered two options for an amendment to the Mission Bay Park Master Plan, which guides future development of the area. Either option would update Fiesta Island, a partially undeveloped area of the park, by adding new amenities and park area to the island's southwest section.The committee ultimately chose the plan dubbed "option B," which reserves much of the island's southwest area for a fenced-in, off-leash dog park and also includes parking areas and walking trails.Option A would have allocated much of the southwest area for a fenced- in, off-leash dog park but would have also included a non-motorized boat launching area along the water, a road extension, larger parking facilities and a designated swimming beach for residents.The Fiesta Island amendment to the Mission Bay Park Master Plan has been in development for roughly two years. Committee attendees, including members of the Fiesta Island Dog Owners group, overwhelmingly stated their support for option B.City Councilman Scott Sherman said his office received roughly 30 calls and more than 300 emails in support of option B, due in part of members of FIDO posting his office's contact information. City Councilwoman Vivian Moreno also expressed appreciation for the public support for option B, particularly among dog owners."I am confident that city staff will be able to find a permanent location for non-motorized personal watercraft in other locations in Mission Bay Park," Moreno said. "But I don't think we need to destroy the experience of thousands and thousands and thousands of dog owners who use Fiesta Island right now in order to do so."Option B also received support from former City Council members Donna Frye, Sherri Lightner and Lorie Zapf."It's important to preserve as much open space as possible," City Councilwoman Barbara Bry said of option B. "It doesn't require any expensive infrastructure and, most importantly, will preserve Fiesta Island as a gem and a magical place for San Diegans for generations to come."The committee did not announce when the proposal will go before the full council. 2365