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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 course 'Trump: Impeachment, Removal, or Conviction?' is offered through San Diego State University’s College of Extended Studies and taught by a long-time SDSU faculty member. The course presents an overall framework of impeachment, removal, or criminal investigation of a president and rather than focusing on President Trump, reviews all 19 impeachments in U.S. history. 

The eighth annual U.S.-Mexico Border Mayors Summit comes during the third annual two-day Metropolis North American Migration Policy Forum, held near downtown San Diego. More than 15 mayors of border cities in San Diego County, Texas, Arizona, New Mexico and Baja California are expected to attend the summit, according to Faulconer's office. 341

The caravan formed October 13 in San Pedro Sula, Honduras, and arrived in Guatemala on Monday.Its slow procession north has prompted U.S. President Donald Trump to threaten to cut aid to Central American nations and to send troops to the U.S. border if Mexico fails to stop the surge.US Secretary of State Mike Pompeo met with top officials in Mexico City on Friday night to discuss the caravan and other matters. Speaking to reporters on a tarmac, Pompeo accused the caravan of using women and children "as shields as they make their way through.""This is an organized effort to come through and violate the sovereignty of Mexico," Pompeo said.The caravan formed just weeks before the US midterm elections. And many Republican candidates have echoed Trump's rhetoric about boosting border security and cracking down on illegal immigration.The U.S. President has pointed to the caravan as a key issue in the upcoming elections, and has used it to attack Democrats, saying -- without evidence -- they wanted the caravan to arrive before Election Day so the migrants would vote for Democrats.But as asylum-seekers, the migrants would not be citizens and would not be allowed to vote. 1181

The drill will be held at 10:17 a.m. to mimic Thursday's date of Oct. 17, with participants urged to react as if a large earthquake was occurring. 146

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