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The county monitors 13 triggers covering surveillance, hospital capacity, and response to determine how it phases in business reopenings.According to the county, the health officer's order can be modified when community outbreaks, PPE supply, or ICU capacity thresholds are met; or when one or more of the remaining triggers in at least two of three categories are met.Wednesday, PPE supply stood at 82% (≤ 50% of hospitals have at least a 15-day supply of PPE), while ICU bed capacity stood at 36% (<20% availability of ICU beds).A San Diego doctor's perspectiveDr. David Pride, an infectious disease specialist at UCSD Health, said the community outbreaks do not come as a surprise to those in the medical field.“There are people out there who have the disease, do not realize they have the disease and are overconfident, so they don’t wear a mask, and thus they end up spreading it to other people around them who are also overconfident because they don’t have symptoms,” he said.Pride explained he had seen a rise in the number of asymptomatic people carrying the virus in the last several weeks.RELATED: New UCSD study: Wearing masks significantly curbs spread of COVID-19“It’s a concern as you get mixing of people from different parts of the county,” he said. “As we continue to see more outbreaks, we expect hospitals to fill up more.”Although he acknowledges temperature checks outside of establishments are great for identifying people who have a fever, they don’t mean much if someone is asymptomatic.“The temperature checks may make people think if they don’t have a fever, they don’t have the disease,” he said.RELATED: Some San Diegans push for end of San Diego County face mask requirementThere are simple steps people can take to keep themselves and those around them healthy.“We need to continue to adhere to our social distancing, our hand washing, and our utilization of face masks,” he said. “There have been several outstanding studies that have demonstrated that mask-wearing can significantly decrease the potential of transmitting that virus.”Pride also explained that staying home as much as possible is still highly recommended.“If you can work from home, it is definitely best that you work from home,” he said. 2241
The driver tried to fight off officers as they tried to arrest him, forcing police to hog-tie the man and place a spit bag over his head. 137

The American Academy of Pediatrics published a new clinical report accompanying the study, with recommendations for breastfeeding and pregnant women who use marijuana.The recommendations state that marijuana should not be used during pregnancy and that marijuana use while breastfeeding is discouraged -- but they also recommend women be informed about the lack of definitive research on this topic and counseled about the current concerns regarding potential adverse effects of THC on pregnancy and child development.This emphasis on being informed was something that stood out to Dr. Alison Stuebe, an associate professor of maternal-fetal medicine at the University of North Carolina School of Medicine in Chapel Hill, who was not involved in the clinical report or the study."Very often, medical documents make statements that women should 'not be allowed to breastfeed when they use marijuana.' That approach presumes that women need to be told what to do, rather than being given information to make informed decisions," said Stuebe, who is also a board member of the Society for Maternal-Fetal Medicine."As a women's health provider, I believe we should provide women with information and advance their understanding so they can make informed choices," she said. "I was really happy to see counseling as an emphasis of this document."Dr. Sheryl Ryan, a professor of pediatrics and chief of the Division of Adolescent Medicine at Penn State Health Milton S. Hershey Medical Center, wrote an editorial that accompanied the new study.She wrote that both the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists recommend counseling moms to abstain from all cannabis products if they wish to breastfeed.The new study provides support for those recommendations, she wrote."But the picture is incomplete without our understanding of what is happening at the level of those infants exposed to cannabinoid-containing breast milk," she wrote. "Hopefully, the calls for research to answer these important questions will not go unheeded." 2072
The crash happened just before 4 p.m. at the Agua Hedionda Lagoon off the 4200 block of Harrison Street, according to Carlsbad police. 134
The Center for Environmental Health has long used California law to force companies to reduce levels of harmful materials in consumer products, including cadmium and lead in jewelry. 182
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