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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

SAN DIEGO (KGTV) -- San Diego County health officials announced Wednesday that three more people died from complications from the flu bringing the county's death toll this season to 49.The deceased were described as an 84-year-old man and a 62-year-old woman from San Diego, and a 50-year-old woman from East County, according to County of San Diego Communications Office spokesperson Jose A. Alvarez.All three had underlying medical conditions.“Influenza activity in the region is still elevated. People should continue taking precautions to avoid getting sick,” said Wilma Wooten, M.D., M.P.H., County public health officer. “The flu vaccine is safe and effective.”This season's death toll is far lower than last season. 307 San Diegans died from complications from the flu through this time last year.The number of people with influenza-like symptoms who showed up at local emergency departments went up one percentage point last week, reaching 6 percent again.The flu claimed the county's first young victim Feb. 20. A 14-year-old girl became the first child to die from influenza this season in San Diego. The girl had an underlying health condition, according to the County Health and Human Services Agency. She had contracted influenza A, also known as H1N1, the county says, and had not received this season's flu vaccine.The majority of cases have been of the H1N1 virus, the county says, which typically affects younger and middle-aged adults because they have not been exposed as much as older adults.County health officials and the Centers for Disease Control and Prevention strongly advise the annual flu vaccination for everyone 6 months and older, especially demographics with a heightened risk of serious complications, such as pregnant women, people older than 65 and people with chronic conditions."Due to continued elevated influenza activity in the county, Wooten is extending—until April 30—the order for unvaccinated health care personnel to wear a mask while they’re in patient care areas. If influenza activity remains elevated, a further extension may be required," Alvarez said.For the week ending March 16, 2019, the Influenza Watch report shows the following:Emergency department visits for influenza-like illness: 6 percent of all visits (compared to 5 percent as the previous week).Lab-confirmed influenza cases for the week: 508 (compared to 574 the previous week).Total influenza deaths to date: 49 (compared to 307 at this time last season).Total lab-confirmed cases to date: 7,184 (compared to 19,442 at this time last season). 2573

SAN DIEGO (KGTV) — San Diego County has served Pacers Showgirls International with a cease and desist order in violation of health orders days after San Diego Padres outfielder Tommy Pham was stabbed outside the strip club.The county's letter says the Midway District strip club was allowing "live entertainment," like exotic dancing, "in violation of the Order of the State Health Officer and County Order of the Health Officer and Emergency Regulations."Under the county's current tier for California's pandemic guidance, San Diego County restaurants are allowed to operate outdoor in-person dining and indoor in-person dining at 25% capacity, but live entertainment is not allowed.The county's letter says if the strip club doesn't suspend its entertainment, it can receive a misdemeanor citation and ,000 fine for each violation. The facility could be ordered to close as well.The order says the violations were reported after Pham was stabbed in the parking lot outside the strip club on Sunday night.San Diego Police said Pham was involved in an altercation. He is expected to make a full recovery.Pham said the experience was, "very traumatic and eye-opening experience for me, I’m on the road to recovery and I know I’ll be back to my offseason training routine in no time."Anyone with information on the stabbing is asked to call SDPD at 619-692-4800. 1370

SAN DIEGO (KGTV) — San Diego County leaders expanded public health orders set up to address the coronavirus pandemic.San Diego County's expanded order closed all gyms and fitness centers and restricted child care to "stable" groups of 10 children (the same group of 10 children with the same childcare professional each day) starting at midnight Thursday.Earlier this week, health leaders issued several public health orders that suspended bars, in-restaurant dining to pickup or delivery only, and large social gatherings of 50 or more people.RELATED: California COVID-19 Tracker: San Diego coronavirus updatesList: School districts providing free meals amid closuresSan Diego and national closures, cancellations, postponements due to COVID-19Wednesday's orders also limited public gatherings from 50 to no more than 10 people.According to County Public Health Officer Dr. Wilma Wooten, that order banning large gatherings does not apply to public transit, airports or mass transportation.Wooten added that while some businesses have reportedly stayed open despite the measures, the county would enforce the orders as violators are reported.Officials stopped short of saying a shelter-in-place order was coming, but Wooten said Southern California health leaders were scheduled to discuss the potential step later Wednesday.RELATED:How to work out from home during San Diego's COVID-19 gym closureTribal leaders announce closures of San Diego County casinos amid coronavirusDr. Eric McDonald, medical director of the San Diego County HHSA’s Epidemiology and Immunization Services Branch, added that since the measure was being discussed, locals should prepare themselves for such an action.San Diego County has 80 reported coronavirus cases, as of March 18. The county says 67 are San Diego County residents, five are in federal quarantine, and eight are non-residents:-- Age 0-17: 0 cases-- Age 18-64: 63 cases-- Age 65+: 17 cases-- Females: 27 cases-- Males: 53 casesTuesday, the county's health orders and strong recommendations to limit the spread of COVID-19 included:All public or private “gatherings,” defined as any event or convening that brings together 50 or more people in a single room or single space at the same time, such as an auditorium, stadium, arena, theater, church, casino, large conference room, meeting hall, cafeteria, or any other theater, church, casino, large conference room, meeting hall, cafeteria, or any other indoor or outdoor space, are prohibited. All non-essential gatherings of any size are strongly discouraged;All bars, adult entertainment establishments, and other business establishments that serve alcohol and do not serve food, shall close;All restaurants and other business establishments that serve food shall close all on-site dining. All food served shall be by delivery, or through pick-up or drive thru. Social distancing shall be required for persons picking up food on site.All businesses shall enact social distancing, increased sanitation standards, and shall make every effort to use telecommuting for its workforce. All businesses shall suspend any policy or procedure requiring doctor verification for sick or other leave approval;All public or private schools, colleges, and universities shall not hold classes or other school activities where students gather on the school campus. Parents of school-aged minor children shall take steps to ensure said children are not participating in activities prohibited by the Order and that social distancing requirements are practiced;A strong recommendation is made that all persons who are 65 years old or older, have a chronic underlying condition, or have a compromised immune system self-quarantine themselves at home;“Non-essential personnel,” defined as employees, contractors, or members of the public who do not perform treatment, maintenance, support, or administrative tasks deemed essential, are prohibited from entry into any hospital or long-term care facility. All essential personnel who show any potential signs or symptoms of COVID-19 shall be strictly prohibited from entry into hospitals or long-term care facilities;Hospitals and healthcare providers shall take measures to preserve resources including delaying non-emergent or elective surgeries or procedures where feasible;Hospitals, healthcare providers, and commercial testing laboratories shall report all COVID-19 test results to the Public Health Officer immediately after such results are received;All persons arriving in the county, from locations as found on the Centers for Disease Control and Prevention (CDC) Warning Level 3 Travel Advisory shall be subject to 14-day home quarantine, self-monitoring;A strong recommendation is made for persons exhibiting mild to moderate symptoms of COVID-19 to self-isolate themselves in their place of residence unless seeking medical treatment 4875

SAN DIEGO (KGTV) -- Rep. Duncan Hunter's opponent, Ammar Campa-Najjar, spoke out Tuesday about the indictment against the congressman. “Now is the time to put country over party,” Campa said in a brief video posted on YouTube. Campa continued by adding that Hunter "is in it for himself." Later Wednesday, Campa called on Hunter to step down. Tuesday, Hunter and his wife Margaret were indicted by a federal grand jury in San Diego on suspicion of using 0,000 worth of campaign funds to pay for vacations and personal expenses. RELATED: San Diego Congressman Duncan Hunter addresses federal indictment in 10News interviewWatch Campa's full message in the player below:The indictment includes instances from 2009 through 2016. The couple is also accused of filing false campaign finance records with the Federal Election Commission. RELATED: San Diego Congressman Duncan Hunter and wife indicted for campaign fund misuseAccording to an affidavit, hunter allegedly spent the money on vacations, dental work, tuition, movie tickets, video games and home utilities, among other things. The affidavit goes on to claim that the Hunters mischaracterized the purchases in FEC filings as things such as campaign travel, dinner with volunteers or campaign contributors, toy drives and teacher/parent events.  Hunter and Campa will face off in November. In the June Primary, Hunter finished with 49 percent of the vote with Campa gaining 16 percent. Political Consultant Laura Fink told 10News Tuesday night that a more recent generic ballot showed the to candidates "neck-and-neck." Fink added “It got close before this indictment. With Republicans having less energy in their turnout, it gives Campa-Najjar a real shot at this.” 1835

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