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SAN DIEGO (CNS) - San Diego County public health officials have reported 320 new COVID-19 infections and four more deaths from the illness, raising the county's totals to 50,143 cases, a milestone for the region, and 825 fatalities.Two women and two men died, and their ages ranged from early to late 60s. Three had underlying medical conditions.Of the 11,371 tests reported Friday, 3% returned positive, bringing the 14-day rolling average percentage of positive cases to 2.8%. The seven-day daily average of tests was 10,127.Of the total number of cases in the county, 3,670 -- or 7.3% -- have required hospitalization and 849 -- or 1.7% of all cases -- had to be admitted to an intensive care unit.Four community outbreaks were reported Friday, two in businesses and two in restaurant/bar settings.In the past seven days, Oct. 3 through Oct. 9, 38 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.The county remains in the second -- or red -- tier of the state's four- tier COVID-19 reopening plan. San Diego's state-calculated, adjusted case rate is 6.5 per 100,000 residents, down from 6.7. The unadjusted case rate is 7.0, down from 7.2.The testing positivity percentage is 3.5%, the same as last week, and it is in the third -- or orange -- tier.San Diego State University reported that of the five confirmed cases added to the total case count on Saturday, three are new cases. The remaining two cases were previously reported to the county, but only recently identified through cross-referencing between SDSU and the county, as having an SDSU- affiliation.Since Aug. 24, SDSU is aware of 1,102 confirmed cases at the university and 68 probable cases. None of the COVID-19 cases have been connected with instructional or research spaces since fall instruction began. This brings the total probable and confirmed case count at SDSU to 1,170 as of Friday at 6 p.m., with the majority of these cases being among students living off-campus in San Diego.A health equity metric will now be used to determine how quickly a county may advance through the reopening plan, San Diego Public Health Officer Dr. Wilma Wooten said 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.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 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 the complicated metric will be explained further on Monday, 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.On Tuesday, the California Department of Public Health will issue its next report on county case rates.On Saturday, 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. 3975

SAN DIEGO (CNS) - The San Diego City Council on Monday will honor area residents who assisted victims in the Las Vegas mass shooting that left 58 concert-goers dead and hundreds of others wounded.Councilwoman Lorie Zapf plans to introduce a proclamation declaring "Las Vegas Unsung Heroes Recognition Day" in San Diego.In it, she calls the Oct. 1 shooting at a country music festival "one of the most horrific events in American history" and lauds Taylor Winston, Jenn Lewis, Officer Max Verduzco, Officer Tom McGrath and his wife, Tiffany.RELATED: Brother of Las Vegas shooting victim Jennifer Irvine urges educator-only pension to divest in gunsShe said Winston -- an ex-Marine living in Ocean Beach -- and Lewis, his girlfriend, found a truck with its keys in the ignition and used it to rush about two dozen shooting victims to a hospital.Verduzco knocked over a fence, allowing the crowd to escape the scene, according to Zapf. Tom McGrath treated numerous gunshot victims on the concert grounds.The two cops were among more than a dozen SDPD officers at the festival, along with seven San Diego firefighters.RELATED: San Diego attorney among victims of Las Vegas concert shooting"Many national news outlets and social media outlets have shared these local citizens' stories and hail them as heroes," Zapf says in her proposed proclamation. "They humbly accept this praise, but they are quick to recognize the many unsung heroes who also stepped up to the plate to help their fellow concert-goers to safety."A spokeswoman for Zapf said the five named in the proclamation all plan to attend the event at a City Council meeting.The gunman, 64-year-old Stephen Paddock, opened fire from the 32nd floor of the Mandalay Bay Resort and Casino into the crowd at the Route 91 Harvest Country Music Festival during a performance by Jason Aldean. Paddock shot himself as SWAT officers prepared to breach his room.RELATED: Names of everyone killed in Las Vegas mass shootingThe dead included a 42-year-old San Diego attorney, Jennifer Irvine. Several San Diego County residents are recovering from serious wounds.Winston told CNN he instructed nearby audience members to keep their heads down and get out of the area. He and Lewis helped numerous people climb over a fence, he said.He said he spotted a lot filled with work trucks and found one with a key.RELATED: White crosses honor shooting victims at Las Vegas' iconic entry sign"Once we were in it, we decided to go help get everyone out of there," Winston said. They drove back to the venue, where some friends were setting up a "makeshift hospital" away from the continuing gunfire.They drove as many people as they could at a hospital, where staff helped unload the patients, he said."Once we were clear, we just said let's go back for more," Winston said. "We went back for a second trip and filled (the truck) to the brim."RELATED: San Diegans honor Las Vegas shooting victims with human peace signAt a news conference, Tom McGrath said he and his wife were approached by a young woman soon after the shooting started."She'd taken a round to the chest. She was holding her chest, and I could see a large amount of blood come out," he said.McGrath responded by tearing off his shirt and pressed it onto her wound.RELATED: Renewed interest in life-saving class following Las Vegas shooting"And I felt more hands go on top of mine ... from everywhere, trying to help me put pressure on this wound," he said. "And we were trying to lay her down. ... And while we were tying to get (security personnel's) attention and tending to her, the second round of (gunfire) came on, and I remember I just grabbed my wife ... and I just pulled her close to me, and I laid on top of her, and I tried putting her on top of the (wounded) girl, and still everybody had their hands on top of mine."He said he helped Tiffany and others scale a fence, climbed over himself and realized he'd become separated from his wife. As he searched for her, he helped a man with a neck wound and applied a tourniquet to a woman's injured leg.Verduzco said he applied a tourniquet for a wounded man and helped a woman who had been shot in a leg.RELATED: Las Vegas hospital waiving medical costs for mass shooting victims 4268

SAN DIEGO (CNS) - San Diego County public health officials have reported 2,686 new COVID-19 infections -- the 26th consecutive day with more than 1,000 cases.On Saturday, there were no new virus-related deaths reported.Saturday was the 18th day with more than 2,000 new cases.Another 35 people also were hospitalized, according to Saturday's data, and another two were sent to intensive care units.The county's cumulative cases increased to 142,647 and the death toll remained at 1,402.Nine new community outbreaks were confirmed on Friday. There have been 57 confirmed outbreaks over the past seven days and 221 cases associated with those outbreaks.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 complete list of county COVID-19 testing sites, how to make appointments and hours can be found at www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/community_epidemio logy/dc/2019-nCoV/testing/testing-schedule.html.Though county officials advised residents to avoid holiday gatherings, anyone who participated in a gathering was urged to get tested, as well as people who recently returned from travel, people with any symptoms and people at higher risk for COVID-19, whether or not they display symptoms.In advising against holiday gatherings, San Diego County Supervisors Nathan Fletcher and Greg Cox pointed to a massive uptick in cases after Thanksgiving -- including the region's highest daily total coming three weeks after the holiday with 3,611 cases reported last Friday."We cannot ignore the reality that we are in a bad place right now," Cox said. "We're making a special plea to avoid large gatherings with those outside your immediate family. This one time, this one year."If people have already traveled, they should be extra cautious about spreading the virus, Cox said.According to Dr. Wilma Wooten, the county's public health officer, 44.1% of the county's cumulative cases have been reported after Thanksgiving. San Diego County is on pace to report another 600 deaths due to the virus before the end of January, she said."We don't want to see what happened after Thanksgiving happen again," Wooten said. "We must continue to stay apart to get the spread of the virus under control. If we don't, cases, hospitalizations and deaths will continue to soar."The 11-county Southern California region is still reporting zero available ICU beds. Gov. Gavin Newsom said Monday the regional stay-at-home order he issued for all of Southern California will almost assuredly be extended beyond next week's expiration date.Current stay-at-home orders took effect at 11:59 p.m. Dec. 6, and were originally set to end on Monday. Newsom did not give an indication of when a decision on extending the orders will be made or much longer they will remain in place. 2874

SAN DIEGO (CNS) - San Diego County public health officials Sunday reported 373 new cases of COVID-19 and no new deaths, bringing the county's totals to 52,355 and the death toll remaining at 853.Officials are imploring San Diegans to maintain vigilance as positive case rates for the coronavirus continue to increase in the region."We are now concerned about the trends and we are concerned about the likelihood we could tip back to purple, Supervisor Nathan Fletcher said on Twitter today. The county is now in the red tier and the limit for the next tier is seven cases per 100,000 residents.Fletcher pointed to positive unadjusted case rates over six days (Oct. 11-16): 6.9 out of 100,000 residents, to 7.2 to 7.3 to 7.4 to 7.7 and 7.8.The county will be in the red, or "substantial," tier for at least another two weeks.But Fletcher and Public Health Officer Dr. Wilma Wooten held an emergency meeting Friday to "sound the alarm" as the future case rate appears to cross into the purple tier of the state's four-tier reopening system.With the state's monitoring system having a seven-day lag, the adjusted case rate of positive COVID-19 tests is 6.8 per 100,000 residents, up from 6.5 in the previous assessment.Nearly all non-essential indoor businesses would close under the purple tier."We are still in the red tier, but it is too close for comfort," Wooten said.The California Department of Public Health will update the county's data Tuesday.One new community outbreak was confirmed Saturday in a business. In the past seven days, 32 community outbreaks were confirmed, well above the trigger of seven or more in a week's time.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.The county uses community outbreaks to get a larger sense of the pandemic locally, but the state does not include the statistic in its weekly report.Wooten said 95% of the county's cases were not related to a marked community outbreak, a clear indicator the illness has spread throughout the county.A total of 12,233 tests were reported to the county Saturday and the percentage of new laboratory-confirmed cases was 3%.The 14-day rolling average percentage of positive cases is 2.7%. The target is less than 8%.The seven-day daily average of tests is 10,573.Of 3,763 positive cases -- or 7.2% -- have required hospitalization through Saturday.Of 870 -- or 1.7% -- of all cases had to be admitted to an intensive care unit. 2504

SAN DIEGO (CNS) - San Diego County public health officials have reported 352 new COVID-19 cases and no new fatalities, raising the region's total to 57,102 cases with deaths remaining at 891.Of the 12,879 tests reported Saturday, 3% returned positive with 239 people hospitalized.The county avoided the state's purple tier, the most restrictive, for yet another week on Tuesday, remaining in the less restrictive red tier of the state's four-tiered coronavirus monitoring system.The county's adjusted case rate dropped to 6.5 new daily COVID-19 cases per 100,000 population.According to the California Department of Public Health, the county's unadjusted case rate is 7.4 per 100,000 -- enough to be in the purple tier, which has a floor of 7 per 100,000. However, the high volume of tests the county is able to perform daily allows for an adjustment from the state. This adjustment has kept the county in the red tier for several weeks, saving it from having to shut down nearly all nonessential indoor businesses.The state data, updated every Tuesday, reflects the previous week's case data to determine where counties stand in the state's reopening system.San Diego County did show modest improvement, dropping 0.4 from last week's unadjusted case rate of 7.8. The testing positivity rate continued an upward trend, rising 0.2% from last week to reach 3.5%, but remains low enough for this metric to remain in the orange tier. If a county reports statistics meeting metrics in a higher tier for two consecutive weeks, it will move into that more restrictive tier for a minimum of three weeks.The state's health equity metric, which looks at the testing positivity for areas with the lowest healthy conditions, dropped from 5.5% to 5.1% and entered the orange tier. This metric does not move counties backward to more restrictive tiers, but is required to advance.All students at San Diego State University are under a stay-at-home advisory until 6 a.m. Monday. University officials said the move was made to discourage students from participating in Halloween events in which physical distancing cannot be done. Students were advised to stay home unless they have an essential need.The Escondido Union School District reported two positive cases Thursday at Mission Middle School.District officials were notified of the positive tests on Tuesday, and said the cases were separate.The new cases prompted district officials to advise 25 students, five teachers and three classroom aides to begin a 14-day quarantine.The Vista Unified School District reported four COVID-19 cases last Monday, including two Mission Vista High School students, one Roosevelt Middle School student and one Alamosa Park Elementary School student.On Tuesday, the district confirmed two additional cases -- one at Mission Meadows Elementary School and one at Alamosa Park Elementary School.According to the district's COVID-19 safety dashboard, it has recorded 13 cases since Sept. 8, with nine of those coming after Oct. 20.The VUSD Board voted Tuesday to shut down at least one campus for two weeks starting Thursday as a result of the rising cases. At least 400 students and nearly two dozen staff members have been ordered to quarantine.Mission Vista High School moved to distance learning for at least two weeks starting Thursday, while Alta Vista High School and Roosevelt Middle School also face potential closures. 3408