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SAN DIEGO (KGTV) -- San Diego County has taken its first step into the dreaded "purple" tier of the state's four-tiered COVID-19 reopening plan, leaving just one week to determine if the county will be forced to shutter nearly all of its nonessential indoor businesses."It would take a significant change in trajectory," Supervisor Nathan Fletcher said Wednesday.State officials reported that San Diego County had an unadjusted new daily coronavirus case rate of 8.7 per 100,000. The adjusted case rate dropped to 7.4 per 100,000, above the baseline of 7, qualifying the state for the purple, or most restrictive tier of the reopening plan. Last week's unadjusted case rate was 7.8 per 100,000.In recent weeks, the region had an unadjusted rate well above the purple tier guidelines, but a significant effort to increase the volume of tests had allowed for an adjustment to bring it back to the red, or substantial, tier.According to the reopening plan, a county has to report data exceeding a more restrictive tier's guidelines for two consecutive weeks before being moved to that more restrictive tier. A county then has to be in that tier for a minimum of three weeks before it may move to a less restrictive tier.San Diego County has been in the red tier for months, skirting but ultimately avoiding the purple tier, which would necessitate the closure of almost all indoor operations of nonessential businesses. Recent trends have shown a slow but steady increase in infection numbers."People are tired of the pandemic and letting down their guard," Supervisor Greg Cox said. "We need to do better. We need to do a lot better and we can do better."If the county cannot drop its adjusted daily case rate below 7 per 100,000, indoor operations in locations such as restaurants, museums, places of worship, breweries and retail businesses will have to either close entirely, move to outdoor operations only or modify in other ways.Dr. Wilma Wooten, the county's public health officer, said retail operations, including indoor shopping centers, will be limited to 25% of building capacity, down from the current 50%. Schools, unless they have already restarted in-person learning, will be restricted to distance learning. K-12 schools already in session can continue, Wooten said.The county's testing positivity rate actually improved, declining 0.3% from last week to reach 3.2%, but remains high enough for this metric to remain in the orange tier.The state's health equity metric, which looks at the testing positivity for areas with the least healthy conditions, increased from 5.1% to 5.3% and entered the red tier. This metric does not move counties backward to more restrictive tiers, but is required to advance.The state data reflect the previous week's case data to determine where counties stand. It is usually updated on Tuesdays, but this week's update was rescheduled because of the election.County public health officials reported 404 new COVID-19 cases and three new deaths Wednesday, raising the region's case total to 58,106 and the death toll to 904.Of the 15,345 tests reported Wednesday, 3% returned positive, maintaining the 14-day rolling average of positive tests at 3%.Of the total number of cases in the county, 3,983 -- or 6.9% -- have required hospitalization and 921 patients -- or 1.6% of all cases -- had to be admitted to an intensive care unit.Seven new community outbreaks were also confirmed Wednesday, two in business settings, three in restaurant/bar settings, one in a grocery setting and one in a health care setting. Over the previous seven days, 25 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. 3771

SAN DIEGO (KGTV) - Residents in a senior mobile home park in Oceanside are worried about speeding drivers after two ducks were hit and killed Wednesday. Neighbors told 10News a mom, dad and baby duck were crossing the road around 5 a.m. when a newspaper delivery driver ran them over.Several residents reported that the driver responsible delivers the San Diego Union-Tribune newspaper and regularly speeds on their narrow roads.The UT told 10News their carriers are employed by a separate company but issued the following statement: "We have learned that a carrier from an independent distributor, who delivers The San Diego Union-Tribune, may have been involved in an auto collision involving a family of ducks. Safety is a priority for us and we support safe and respectful work practices among the vendors with whom we do business. We share the concerns of the residents and encourage the distributor to review the incident and address any unsafe practices." 970

SAN DIEGO (KGTV) - San Diego Police are investigating Monday a woman's report that she was held against her will in Rancho Pe?asquitos.A woman arrived at a home on Caminito Cuadro at 10:45 a.m. and said she had been kidnapped and held captive in a neighboring house, police said. The location is in a residential area near SR-56 and Carmel Mountain Road.Neighbors told 10News they saw a naked woman covered in a bedsheet leave the home.The woman was taken to a nearby police station for an interview, police said.10News is monitoring developments in this story. 569

SAN DIEGO (KGTV) - Rev. Al Sharpton will join local members of the National Action Network in a press conference Wednesday.Rev. Sharpton is scheduled to discuss Midterm elections, criminal justice reform, and "issues impacting communities of color in San Diego." Specifically, he is set to discuss an independent investigator working on cases involving police shootings and misconduct.Rev. Sharpton will be joined by the families Jonathan Coronel, Sergio Weick, Alfred Olango and James Lacey, who have been directly affected by police-related shootings in Southern California.Watch a Facebook live in the player below:  642

SAN DIEGO (KGTV) — San Diego County Supervisors and health officials use 13 "triggers" to monitor coronavirus case trends and determine how public health orders are made.The triggers measure how the county's coronavirus cases are increasing or decreasing, hospital capacity, and the region's ability to track and monitor cases. According to the county, the health officer can modify health orders when community outbreaks, PPE supply, or ICU capacity are exceeded; or when one of more of the remaining criteria in at least two of the three sections below are met:Epidemiology (surveillance)Case Count: Increase new case counts of at least 10% for five consecutive days above a stable baseline without substantial increase in testingCommunity Outbreaks: Seven or more new outbreaks in community settings in a 7-day periodCOVID-Syndromic: Upward trajectory of COVID-like syndromic cases reported within a 14-day periodILI: Upward trajectory of influenza-like illnesses (ILI) reported within a 14-day periodHealthcare (hospital capacity)Hospital Capacity: Approach 80% capacity for all hospital beds in the countyIncreasing Hospitalizations: >10% increase in the number of confirmed COVID19 patients currently hospitalized, measured as an average of the past 3 days and compared to the average of the 3 days priorLimited Intensive Care Unit (ICU) Capacity: <20% availability of ICU bedsLimited Ventilator Capacity: <25% availability of ventilatorsPPE Supply: ≤ 50% of hospitals have at least a 15-day supply of PPEPublic Health (response)Cases: Greater than 8% of positive test as a percent of total tests within a 14-day periodCase Investigation: 70% or less of investigations are initiated within 24 hours of notification over a 7-day periodContact Tracing: Make first contact attempt for 70% or less of close contacts of new positive cases within 24 hours of identificationHomeless Population: Temporary shelter available for less than 15% of homeless population (e.g., space constraints, medically vulnerable household members, or otherwise) 2059