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SAN DIEGO (CNS) - County supervisors voted 4-1 today to have the chief administrative officer direct the Health and Human Services Agency to develop a plan for in-house medical care of jail inmates and possible outsourcing of those duties as well.Sheriff Bill Gore will review the plan, and officials will also put out requests for proposals from private contractors to handle those duties.Supervisor Dianne Jacob made the motion to examine both an in-house model and outsourcing.``I don't think we should go with just one approach,'' Jacob said, adding she is a proponent of outsourcing county services, if it results in good service for less money.Gore has cited his department's million annual health care bill for inmates as a reason to explore cost-saving strategies. He asked supervisors to consider possible vendors for the county's health care needs in its jails and other facilities.Gore told supervisors that his goal was simply to get the best care at the best value, with an aging population of inmates and other serious issues.``I am proud of our response to these challenges, but I'm not one to assume that I have all the answer to these challenges,'' Gore said.Gore also objected to waiting 180 days for a staff appraisal of outsourcing. ``If it's a good idea in sixth months, it's a good idea today,'' he added.He also praised the 300 men and women who provide medical care to inmates as outstanding employees.Supervisor Nathan Fletcher, who is opposed to any privatization of services and proposed having HHSA handle inmate care, cast the lone no vote.Before the board voted, Fletcher said outsourcing to a for-profit entity would not lead to a better outcome.``As a board, we are the ones who are on the hook,'' in terms of lawsuits if an inmate doesn't get the appropriate care, Fletcher said. ``We should have input.''Fletcher asked the board to vote on his proposal to have the HHSA administer medical and behavioral health services in jails, but the motion died for lack of a second.Board Chairman Greg Cox said he was encouraged that HHSA would develop its own proposal.Cox praised both county medical employees and contractors for working in such a demanding field, but said the system right now is too bifurcated, adding that several legal items on Tuesday's closed-session agenda involved inmate care.Supervisors voted after a lengthy public hearing, in which nearly every person who called was opposed to private outsourcing. Health care workers mentioned low morale at some detention facilities, and the risks workers are taking during the COVID-19 pandemic.Most speakers identified themselves as members of Service Employees International Union, Local 221. 2697

SAN DIEGO (CNS) - A pedestrian was struck and killed by a BNSF freight train at the Old Town Transit Station in San Diego, authorities said this morning.Officers responded to the station, in the 4000 block of Taylor Street near Congress Street, at 9:25 p.m. Friday and found the victim dead at the scene, according to Deputy Brian Abraham of the San Diego County Sheriff's Department.The age, gender and name of the victim were not disclosed.Anyone with information about this incident was asked to call the sheriff's department at 858-565-5200. 553

SAN DIEGO (CNS) - A man stabbed his housemate to death in Chula Vista two years ago, then stuffed the victim's body into a barrel that he and another man dumped into San Diego Bay, a prosecutor alleged Tuesday, while defense attorneys maintained that the evidence against their clients was entirely circumstantial. Timothy John Cook, 54, is charged with the Sept. 30, 2017, murder of Omar Medina, 28, and co-defendant Derrick Spurgeon, 40, is charged with being an accessory for allegedly driving the boat used to dump the victim's body, which was located 12 days later inside the barrel, which had been weighed down by a makeshift anchor made of wire and cinderblocks. Medical examiners said Medina had been stabbed more than 60 times in the chest, back, neck and head. RELATED: Man whose body was found in a barrel had been stabbed 66 times; suspect pleads not guiltyDeputy District Attorney Cherie Somerville said in her opening statement that Medina and Cook both worked at a scaffolding business for Cook's younger brother and were living together at a home in Chula Vista. In a text exchange with his brother, Cook expressed annoyance with Medina over his drinking and sloppy household behavior, leading Cook to eventually kick him out of the house, according to the prosecutor. Sommerville also noted that Medina had recently come into a substantial amount of money via an ,000 settlement he received in a lawsuit. Medina's family never heard from him after Sept. 30, and filed a missing person's report soon afterward with Chula Vista police. Medina's unlocked car was found about a week later on Oaklawn Avenue, not far from the home he shared with Cook on McIntosh Street. Numerous belongings, including his computer and guitar were inside the vehicle. RELATED: Family of man found in barrel works to find closure, thanks Chula Vista PD for their effortsDuring that time period, Cook had told his brother that he was out of town in the Northern California city of Oroville, but Somerville said evidence indicates the defendant never left San Diego County. Defense attorney Kara Oien countered in her opening statement that there was no hard physical evidence tying Cook to Medina's death, and told jurors the district attorney was relying on circumstantial evidence to come to a false conclusion that her client killed Medina. The attorney said the prosecution lacked a murder weapon and witnesses to the murder, which allegedly occurred during the daytime hours of Sept. 30 at the Chula Vista home. Oien said Cook's agitation over Medina's sloppiness was far from indicative of a motive to kill and that Cook would have tried to get closer to Medina if he really wanted his settlement money, rather than kicking him out of their house. RELATED: Bodycam video shows officer confront accused killer of man found in barrelAccording to the prosecution, Cook enlisted Spurgeon's assistance on Oct. 11 to haul the barrel and dispose of it. Surveillance footage allegedly captures the men in a green Ford F-150 owned by Cook's half-brother, which is seen towing Spurgeon's boat from El Cajon to the bay. Somerville alleged that a barrel matching the one containing Medina's body can be seen in the bed of the pickup in the footage. She also said a search of the McIntosh Street home yielded additional indications that Cook was covering up the murder, such as removal of his home's kitchen sink and stripping down Medina's room, which was located in an attached building on the property. Oien said Cook was merely fixing up the home, and that he had an agreement with his landlord to make occasional repairs in exchange for lower rent. Spurgeon's attorney, Roland Haddad, said there was no evidence that his client had any knowledge of assisting Cook of disposing Medina's body, if Cook even committed the murder at all. The men exchanged phone calls on Oct. 11, but Haddad said there was no evidence regarding what discussions they had over the phone, nor what was said on the alleged boat ride when Medina's body was dumped into the water. 4056

SAN DIEGO (CNS) - A pick-up truck drove through a highway center divider today near Alpine, overturned and caught fire, authorities said.The crash happened at 7:26 a.m. when a Ford truck lost its brakes going eastbound on Interstate 8, overturned on westbound I-8, landed on the right shoulder and became fully engulfed, the California Highway Patrol said.The wreck started a minor brush fire. All westbound lanes of I-8 were shut down from West Willows Road to East Willows Road until 8:23 a.m., where one westbound lane was reopened, the CHP said.It was not immediately known how many people were in the truck or whether there were any injuries. 655

SAN DIEGO (CNS) - An infectious disease expert for Scripps Health reminded San Diegans Tuesday to get influenza shots early this season to avoid potentially overloading the region's medical system during the COVID-19 pandemic."If you normally get the flu shot each year, then now is the time to make arrangements for your vaccination, and if you rarely or never get a shot, then this is the year to start doing it," said Dr. Siu Ming Geary, an internal medicine physician and vice president of primary care for Scripps Clinic Medical Group.Symptoms for typical seasonal influenza, such as fever, coughing, headache and fatigue, are similar to those for COVID-19, the illness caused by the coronavirus, and both viruses attack the respiratory system. It remains unclear how the two viruses might interact or affect overall sickness when infecting the same person."We don't yet know how bad this year's flu season will be, but it is possible to get both the coronavirus and the flu at the same time," Geary said. "Both can result in severe illness and complications, including hospitalization and death. While there is not a readily available vaccine for coronavirus, we do know that being vaccinated for influenza is the best thing you can do to protect yourself from getting the flu."Last year, 105 people died from the flu in San Diego County, while the virus killed as many as 62,000 nationwide. The 2017-18 season was even worse, with 343 deaths in San Diego County and 79,000 nationwide."While some experts may disagree about the optimum timing to receive the flu shot, most, including those at the Centers for Disease Control and Prevention, recommend getting the shot by the end of October," Geary said. "As for this year, with the coronavirus pandemic still in full swing, it's not too early to get the flu shot right now."While flu vaccine supplies have sometimes run thin in the past, that shouldn't be the case this year, Geary said. Pharmaceutical companies have produced up to 198 million doses of the vaccine for the U.S. market, a record-setting amount that tops last year's supply by 20 million.The CDC recommends annual influenza vaccination for everyone 6 months or older, especially those who are at high risk for complications from the flu -- including people 65 years and older, children under the age of 2, pregnant women and people with chronic conditions such as asthma, diabetes, heart disease, neurological conditions, blood disorders, weakened immune systems and morbid obesity.This year's vaccine is designed to cover the four strains expected to be the most common in circulation during the 2020-21 influenza season: Influenza A (H1N1), influenza A (H3N2), influenza B (Victoria) and influenza B (Yamagata). 2743