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DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601

EL CENTRO, Calif. (KGTV) - Church leaders in San Diego, El Centro, and Brownsville, Texas were arrested Tuesday on suspicion of subjecting homeless people to forced labor, according to U.S. Department of Justice officials.U.S. Attorney for the Southern District of California Robert Brewer said those charged coerced the victims to give up their welfare benefits and forced them to panhandle up to 54 hours a week.Twelve people said to be leaders of Imperial Valley Ministries (IVM) are charged with conspiracy, forced labor, document servitude, and benefits fraud, said Brewer.“The indictment alleges an appalling abuse of power by church officials who preyed on vulnerable homeless people with promises of a warm bed and meals,” said Brewer. “These victims were held captive, stripped of their humble financial means, their identification, their freedom, and their dignity.” IVM is headquartered in El Centro and operates about 30 churches in the U.S. and Mexico including locations in Las Vegas, Phoenix, Los Angeles, Santa Ana, and San Jose. The church’s stated purpose is to “restore” drug addicts at faith-based rehab homes, the Department of Justice said in a news release. The church operated one group home in Chula Vista, along with others in El Centro and Calexico. Many victims were recruited in San Diego, officials said. Defendants include Jose “Chito” Morales of San Diego, Ana Robles-Ortiz, Jose Gaytan, Sonia Murillo, Arnoldo Bugarin, Azucena Torres (aka Susana Bugarin), and Sergio Partida of El Cajon, and Victor Gonzalez, Susan Leyva, Jose Diaz, Mercedes Gonzalez (aka Mercy Diaz), and Jose Flores of Brownsville, Texas. IVM leaders allegedly “inducted many to participate with offers of free food and shelter with the false promise that victims would be provided with resources to eventually return home,” according to the DOJ. The homeless people would check in to the homes and sign agreements to stick to the IVM rules such as “you are not to discuss things of the world” and “if any of the rules are broken there will be discipline”, DOJ officials said. Many victims claimed they were held against their will, officials said. The indictment claims church leaders used deadbolts to lock the victims into the homes, and confiscated identifications. Windows were also nailed shut at some group homes, according to the indictment. In one case, a 17-year-old victim broke a window to escape and run to a nearby home to call police. Prosecutors say church leaders also refused to allow a diabetic woman to obtain medicine and food in response to low blood sugar. She was able to escape and get help, officials said. In some situations, IVM members told the victims they would have to stay or they would face punishments, including having their children taken away from them, the DOJ said. Victims were also told loved ones had rejected them and they must stay because “only God” loved them, said officials. Punishments, including talking about the outside world, allegedly included the withholding of food. DOJ officials said IVM leaders also stole victims’ EBT cards and used them for improper purposes. The identified victims are now free and have access to necessary support services. 3214

EL CAJON, Calif. (KGTV) -- El Cajon Police searched an illegal marijuana dispensary that resulted in six people being detained Thursday morning.Police served the search warrant after receiving complaints about the illegal business, which is located near homes on the 400 block of West Douglas Avenue.The City of El Cajon doesn’t allow marijuana dispensaries within city limits.When police arrived, they found marijuana, marijuana edibles, drinks and cash.Police said no arrests have been made in the case, but the investigation is ongoing. 547

DOWNEY, Calif. (AP) — A man suspected of gunning down a liquor store owner near Los Angeles leaned out a car window during a chase and blasted away with a handgun before being dragged wounded from the car Friday.There was no word on his condition as he was taken away in an ambulance.He is believed to be the gunman who walked into a Downey liquor store on Tuesday night and shot down Gurpreet Singh, 44, of Cerritos, Sgt. Mark Haxton said.Police have said nothing was taken from the store and there was no immediate word on a motive for the attack.On Friday afternoon, police and Los Angeles County sheriff's deputies began chasing a black Toyota Prius in Downey, southeast of Los Angeles.The high-speed chase stretched along a freeway and surface streets, during which video showed a passenger in a black T-shirt lean halfway out of the front passenger's window and fire two-handed at pursuing patrol cars.Video showed the man using a distinctive long-barreled revolver strikingly similar to one that was used in the store killing.The chase ended at about 3 p.m. in neighboring Vernon when traffic trapped the car and the passenger again fired. A car behind the Prius managed to back away, and police who pulled up in the next lane riddled the Prius with gunfire, shattering windows.A short time later, a bloodied woman driver got out and surrendered. There was no immediate word on her condition.The street near a railroad track was emptied, and sheriff's SWAT teams were called in. Two armored vehicles blocked in the Prius.During a standoff that lasted more than an hour, authorities rolled a robot up to the open driver's door to peer inside the car and later fired two flash-bang grenades into the vehicle.When the man inside didn't get out, a police dog was sent in to pull at him. Only then did SWAT members drag the motionless man from the car.He was strapped to a gurney and taken away by ambulance. There was no word on his condition. 1954

EL CAJON, Calif. (KGTV) - Starting Monday morning, Cal Fire San Diego is suspending all burn permits for outdoor residential burning.The announcement comes after a dry winter and warming temperatures dried out the annual grass crop.The suspension bans residential outdoor burning of landscape debris like branches and leaves.“We are reminding the public that this last winter was drier than last year,” said Chief Tony Mecham, Cal Fire San Diego/San Diego County Fire Chief. “The abundant dry grass will only serve as a fuse to the heavier vegetation that still covers our local open spaces.”RELATED: Volcan Mountain brush fire preventing officials from reaching reported crash siteSince the beginning of January, Cal Fire has responded to 920 wildfires across the state.Mecham is also asking residents to ensure they are prepared for wildfires by maintaining a minimum of 100 feet of defensible space around homes and buildings.“The importance of defensible space cannot be over-emphasized, but just as important is that residents conduct their clearance activities in a safe and responsible manner," Mecham said. “This includes using the proper tools and limiting clearance activities to the early morning hours when the humidity is up and the temperatures are down.”RELATED: Firefighter battling Barrio Logan fire shocked by electrified fenceBelow are some tips to help prepare homes and property: 1423