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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) — Call them the ghosts of summer vacations past: two mostly empty cruise ships remain anchored off the coast of San Diego, waiting for the green light to resume operations as the nation grapples with the COVID-19 pandemic.Celebrity’s Millennium and Eclipse cruise ships have been anchored in San Diego since March, when the CDC suspended cruise ship sailings around the country March 14. That order has been extended to at least July 24.Several cruise ship companies have announced voluntary delays until September.After thousands of passengers disembarked from the Eclipse in late March, test results came back showing several passengers were COVID-19 positive.More than a month later, in May, 63 passengers remained quarantined on the Eclipse with hundreds of crew members.A third ship, the Disney Wonder, was anchored in San Diego for the first few months of the pandemic, but departed May 30, said Brianne Page, a public information officer for the Port of San Diego.For now, the Millennium and Eclipse are ghosts of their former selves. All the passengers have now disembarked, along with the vast majority of the crew.Both ships are down to minimal staffing levels of about 80 crew members to maintain the vessels and keep them operational, said Royal Caribbean Cruises spokesman Jonathon Fishman.“As of now, they expect to stay in this position through the summer until our return to service plans are finalized,” Fishman said via email.The ships occasionally pull into port to refuel, but otherwise stay anchored off the coast to avoid port fees that can exceed ,000 a day.When cruise ships pull into port with passengers, companies pay significantly higher fees, ranging from ,000 to ,000 per call, Page said.There were 28 canceled calls due to the pandemic, resulting in roughly million in lost revenue for the Port of San Diego, Page said, plus a staggering ripple effect for the region’s economy.The Port of San Diego estimates that each time a cruise ship visits San Diego as a midpoint in its journey, known in the industry as a “visitation,” the call generates 0,000 in regional economic impact as travelers visit local shops, restaurants and other businesses.Each time a cruise ship starts and ends its journey in San Diego, known as a “homeport,” the regional economic loss is about million, Page said.Using those estimates, the 28 canceled calls resulted in as much as million in regional economic impact.Cruise ships are working with the CDC and other medical professionals to establish safety standards once sailing is allowed to resume, and industry insiders expect the new guidelines may mirror ones recently adopted in Europe.“The European Union has issued guidelines for cruises operating in Europe, which include things like onboard separation by age group, reduced capacity, and COVID testing of all passengers,” said Doug Shupe, a spokesman for the Auto Club of Southern California.Shupe said interest in cruising remains high among Triple-A members, but members are mostly booking cruises for 2021.“We’ve seen that our bookings for 2021, for cruises, are actually higher than what they were this time last year,” he said.He said many cruise lines offered passengers with canceled bookings credits worth up to 125% of their original value. 3313

SAN DIEGO (KGTV) - Behind every mammogram Dr. Lisa Watanabe looks at is a woman waiting, and hoping, for good news. Dr. Watanbe is a radiologist, and the Chief Medical Officer for CureMetrix, an artificial intelligence (AI) technology company focused on early breast cancer detection.Their FDA-cleared software is able to learn, using millions of mammograms, to identify, mark, and score anomalies. "Cancers that were missed by a radiologist were detected by the machine, some of them weren't even small, sometimes they were just obscured by dense tissue," said Dr. Watanabe.She says the technology has found breast cancer up to five years earlier than it was found by the human radiologist. "It may detect features on mammograms the human eye can't detect," said Watanabe.The technology is already being used by doctors around the world and is also available to anyone with internet access.Women can pay 9 to get their own CureMetrix second opinion by uploading their mammogram to the online portal DocPanel.Dr. Watanabe says the software is not meant to replace humans but rather help them do their job better.San Diego resident Amanda Caniglia says the technology gave her peace of mind. "As a woman and going for my first mammogram and knowing the family history, there is a lot of anxiety going into it, you don't know what to expect," said Caniglia.While Caniglia's initial mammogram results came back normal, she wanted a second opinion because of her family history of cysts, tumors, and cancer. When the CureMetrix results also came back as normal, it was a huge relief. "it really lowered my anxiety and gave me peace of mind because I was able to know I'm good to go, I'm cancer-free."The technology is lowering the number of false positives and catching cancer earlier, giving more women the chance to find a cure in time. 1846

SAN DIEGO (KGTV) — Border officials seized nearly two tons of drugs valued at millions of dollars at San Diego and Imperial Valley ports of entry last weekend.Between June 14 and June 16, Customs and Border Protection says more than 2,638 pounds of marijuana, 1093 pounds of methamphetamine, and five pounds of heroin were seized after being discovered inside doors, flooring, and other areas of vehicles and a tractor-trailer.In one instance, agents at the Calexico Port of Entry stopped a 34-year-old driver on Friday and referred the driver to a secondary inspection. There, canine agents made a positive detection and the port's imaging system discovered anomalies inside the vehicles flooring.Agents uncovered 40 packages of methamphetamine hidden in the vehicle.The same day, a tractor-trailer was stopped at the Otay Mesa Port of Entry, arriving from Mexico with a shipment listed as "watermelons and cactus." An officer referred the driver to a secondary inspection, where a canine officer alerted agents to a positive detection in pallets of watermelons.Agents found 311 packages of marijuana, worth an estimated ,557,000, intermixed with the fruit.During another incident on June 16, agents at the San Ysidro Port of Entry stopped a 35-year-old man where a secondary inspection revealed 86 packages of methamphetamine, with a street value of 3,700.All drivers were turned over to Homeland Security agents for processing and all vehicles and narcotics were seized by CBP. 1494

SAN DIEGO (KGTV) - Attention is now turning to the southern border after Wednesday's border closure with Canada.On Thursday, the walkway into Tijuana was nearly empty but the San Ysidro Port of Entry remains open, for the time being. “It's going to have major implications for us, particularly for us here in Southern California, if we see a closing of the U.S.-Mexico border,” says Dr. David Shirk with the University of San Diego, where he works as a professor with an area of expertise in U.S.-Mexico relations. RELATED: Senate GOP to unveil stimulus plan that includes ,200 payments for most AmericansShirk says that if the U.S. proceeds with any closure, not only will families be separated, but there will also be a major shortage of supplies like foods that are harvested in Baja and transported north. “Something that the federal government needs to take into consideration is that our economy is critically interlinked with Mexico,” he adds.As of Thursday morning, there were only 118 reported cases of COVID-19 in Mexico. Mexican President Andrés Manuel López Obrador has been criticized in recent days for not taking enough containment measures. Video on the Washington Post's website shows him shaking hands at a big rally last Saturday and kissing a supporter. RELATED: San Diego County Westfield malls close 'majority of its operations' amid outbreakThursday, he tweeted out from a press conference to act calmly, disseminate official information and adopt hygiene measures. San Diego Mayor Kevin Faulconer said Thursday that he has requested for the State of Baja to adopt the same precautionary measures that are being taken in San Diego.This Wednesday, the Mayor of Tijuana decided to cancel events with more than 100 people. Schools in Tijuana are reportedly now closed. RELATED: San Diego and national closures, cancellations, postponements due to COVID-19Shirk says Mexico has likely been slower to respond to the pandemic out of fears over its own economy. “I think there's real concern in the López Obrador Administration that an overly drastic response to the coronavirus crisis could cripple Mexico's economy and that has to do with the fact that for the last couple of years Mexico's growth rate has basically remained about flat," Shirk. U.S. Customs and Border Protection (CBP) sent 10News a statement about any possible plans for a border closure:“What we can say right now is that the U.S. Customs and Border Protection’s (CBP) highest priority is to ensure the health, safety and security of our workforce and the American people. CBP agents and officers will maintain situational awareness while identifying individuals who have traveled from or transited through countries affected by COVID-19. CBP continues to process cargo as there has been no identified threat as it relates to cargo shipments.CBP officers use a combination of traveler history records, questioning, observation, and self-declarations to further identify individuals requiring enhanced health screening by the Centers for Disease Control and Prevention (CDC). Currently, all CBP ports of entry are following the same operational guidance as issued by Presidential Proclamations and the Department of Homeland Security. If CBP observes a traveler with symptoms of COVID-19, we will refer them to the (CDC) and or DHS medical contractors for enhanced health screening. CDC personnel are responsible for the enhanced health screening of travelers in all locations nationwide.CBP has issued guidance to all employees that outlines the current comprehensive use of Personal Protective Equipment including guidance regarding wearing masks in the appropriate circumstances. (using a risk-based approach).” 3711

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