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SAN DIEGO (KGTV) -- San Diego County officials are once again sounding the alarm, asking San Diegans to follow all health guidelines to slow the spread of COVID-19.On Wednesday, local leaders held a press conference to discuss the county's latest numbers and their placement on the state's colored tier system. The county stayed in the red tier, but was dangerously close to slipping into the more restrictive purple tier. In fact, County Public Health Officer Dr. Wilma Wooten said San Diego County was only two cases away from the purple tier."Yesterday we dodged a bullet. We could not have gotten any closer without tripping into the purple tier," County Supervisor Nathan Fletcher said at Wednesday's press conference. "But we don't want to live or die on the tiers by how many tests we've done."The county's unadjusted case rate is 7.7, while the adjusted rate is 7.0. Officials said the county's testing efforts allowed for that adjusted number. The county's health equity metric also improved, going down from 5.7% to 5.5%; the metric looks at the most undeserved, impacted communities.On Wednesday, health officials reported 263 new COVID-19 infections and six additional deaths, raising the region's cumulative totals to 53,263 cases and 863 fatalities.Six new community outbreaks were also reported Wednesday, two in businesses, two in restaurants, one in a restaurant/bar setting and one in a healthcare setting. 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.Wooten said the best way to keep cases down is to continue following all health guidelines in place, like wearing a mask, staying home if you're sick, social distancing and avoiding indoor gatherings. The county is also looking ahead to Election Day, urging San Diegans to vote via mail-in ballot, but also reassuring in-person voters that it will be safe to cast a ballot. County Registrar of Voters Michael Vu is asking all in-person voters to wear a mask and be patient on Election Day. Vu said all 4,500 election workers will undergo two days of training before the election so they can handle sanitization procedures and how to direct crowds. Each worker is screened for COVID-19 daily.The county will find out next Tuesday if they stayed in the red tier of if they will move back to purple. City News Service contributed to this report 2531

SAN DIEGO (KGTV) -- San Diego County health officials Monday echoed Governor Gavin Newsom’s demand to close more businesses as coronavirus intensifies.The state announced Monday that it was closing indoor operations for places of worship, restaurants, wineries, movie theatres and family entertainment, zoos, museums, cardrooms, fitness centers, some offices, personal care services, hair salons and barbershops, and malls. All bars were also ordered to close."We are moving back into a modification mode of our stay-at-home order," Newsom said. The new order takes effect in San Diego at midnight Wednesday morning. The announcement comes as 419 more people throughout the county tested positive for coronavirus Monday. No new deaths have been reported.RELATED STORIESSan Diego County restricting COVID-19 testing amid supply shortageNewsom shuts down indoor activities across CaliforniaThe county also said it is focused on priority groups for coronavirus testing amid changes in testing supplies.See a list of priority groups below:Healthcare workers, first responders, other social service employees, and people in essential jobsOlder adultsPeople with chronic medical conditionsPeople living in a residential or group setting, such as a long-term care facility or shelterPeople exposed to infected individuals in places where COVID-19 risk is high 1360

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) -- San Diego Harbor Police have cited a charter company for violating the county's health order. A sergeant for Harbor PD confirmed with 10News that Flagship Cruises and Events was cited for being in violation. The county health order states that recreational boating is allowed provided all occupants of a boat are from the same household.10News cameras were rolling as people walked onto the Flagship Cruises and Events dock and onto the company's Spirit of San Diego, capturing the boat's departure and arrival back into the bay. It is unclear if those boarding were all members of one family. 10News reached out to the company and a spokesperson sent us a picture of the county health order saying "We are stating we are part of section 14E, not C. That section states in part, "other public or private outdoor recreational facilities (other than community pools per State order), including recreational equipment (such as bicycle, boat, kayak, equestrian and surfboard) rentals may be open for limited use."Flagship's website states, "We are Open" and has several sections outlining how they are operating during the pandemic. One section states that masks are required for passengers and everyone must respect six-feet social distancing guidelines. The website also states that all employees will be in masks, gloves and screen upon arrival. Also adding that the company is limiting the number of passengers per cruise to allow for maximum distancing and that they've invested in new machinery to sanitize all chairs between cruises. Harbor Police says the citation for violating the county health order has a maximum fine of a thousand dollars and up to a year in jail. 1702

SAN DIEGO (KGTV) — San Diego County health officials say the county’s contact tracing program has not been hampered by the same issues plaguing efforts in other areas like New York City, but there may be blind spots in the county’s data.One of the keys to successful contact tracing is eliciting a full list of close contacts from an individual who tests positive. A “close contact” is defined as someone who was within 6 feet of an infected person for at least 15 minutes, beginning 48 hours before illness appeared and lasting until the patient was isolated.It’s sensitive work, but the breadth of that list is critical to suppression efforts. “By identifying or ‘tracing’ the contacts of people infected with COVID-19, we can identify other individuals who might be infected, test those individuals for infection, treat those who are also infected and trace their contacts as well,” the county says on its website.However, in New York City, only 35% of the residents who tested positive actually provided information about their close contacts to tracers during the first two weeks of June, the New York Times reported.That means that even if tracers were able to reach virtually all of the individuals on their list, they would still likely have a vastly incomplete picture of those who may be at risk.That’s where San Diego’s first potential blind spot comes in. Unlike New York City, San Diego County is not actively monitoring the percentage of individuals who provide information on close contacts to tracers, County Medical Director Dr. Eric McDonald said Monday.“We don’t specifically follow that metric,” he said. “We think we’re probably doing better than the numbers you hear from New York. It’s difficult though for us to drill down on that specifically.”Instead, the county bases one of its triggers on attempts to reach the close contacts it has on file, regardless of how complete or incomplete that list may be, and regardless of whether tracers actually got in touch with those individuals -- a second potential blind spot.McDonald acknowledged that tracers are often given out-of-date or inaccurate contact information, and must rely on public records and other sources to try to reach out to close contacts.As of Monday, the county had attempted to contact 87% of known close contacts within 24 hours, well above the county’s goal of 70%.“I think we’re doing pretty well from the contact tracing perspective,” McDonald said of that metric.“I would say the general gestalt from talking to our contact tracers is that most individuals are actually quite cooperative and do give as best information as they can about close contacts. And we really do appreciate that,” he added.McDonald said that staff would reexamine the county’s database in light of the inquiry by ABC 10News, and on Tuesday a spokeswoman provided an update. “Approximately 60 percent of our cases identify one or more close contacts,” said communications officer Sarah Sweeney.Assuming that every person who tests positive has at least one close contact, it means San Diego County disease detectives are placing calls to -- at most -- 52% of close contacts within the first 24 hours.McDonald said while that tracers do not get close contact information from everyone, there are circumstances when a close contact is simply a household member and has no other unique close contacts to follow up on.“Some close contacts don’t need to be identifying any other close contacts,” he said. “Overall, I would say that our cooperation is good to excellent.”From May 4 to May 28, people who tested positive in the county identified an average of 2.2 close contacts, County Public Health Officer Dr. Wilma Wooten said at a Board of Supervisors meeting earlier this month.Whether tracers actually reach those individuals is another story.“I’m a person who thinks it would be great to have perfection: every single person telling us every single thing that they know. But I think that we are doing very well from the information we are getting from our close contact investigations,” McDonald said Tuesday. 4089

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