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SAN DIEGO (CNS) - Efforts stretched into a seventh day Friday to contain a wildfire that has blackened thousands of acres in rural eastern San Diego County, leveling at least 30 homes, dozens of outbuildings and forcing widespread evacuations.As of 6 p.m. Friday, crews had the sprawling burn area southeast of Alpine about 55% contained, according to Cal Fire. Firefighters remained particularly focused on its western and northern flanks, where smoldering hot spots were posing the most immediate remaining structural threats, the state agency reported.The conflagration, dubbed the Valley Fire, has blackened 17,665 acres, destroyed 30 residences and 29 auxiliary structures, damaged 11 other buildings and left two firefighters with minor injuries.Friday, all evacuation orders, warnings, and road closures had been lifted, according to CAL FIRE San Diego. Non-residents are asked to avoid the area.Cleveland National Forest remains under an Emergency Forest Closure order until conditions improve for future visitors.Residents returning to the area are asked to exercise extreme caution around trees, power poles, and other tall objects that may have been weakened by the fire. San Diego Sheriff's Department has increased patrols in the area to prevent looting and provide public safety, CAL FIRE added.The blaze erupted for unknown reasons early Saturday afternoon off Spirit Trail and Carveacre Road in Japatul Valley and spread rapidly through tinder-dry vegetation amid sweltering heat and high winds, according to Cal Fire. More than 1,000 local, state, federal and military firefighters have battled the blaze by ground and aboard firefighting aircraft, officials said.Evacuation orders remained in effect Thursday evening for the back- country communities of Carveacre, Japatul Valley, Lawson Valley and Lyons Valley. Residents of Alpine, Barrett Junction, Descanso, Dulzura, Pine Valley, Potrero and Viejas were advised to be prepared to clear out of their homes on short notice if serious flare-ups occurred near their neighborhood."We would encourage everybody to stay out of those areas," sheriff's Lt. Tony O'Boyle told reporters during a briefing Thursday morning. "Just because you don't see smoke or flames doesn't mean there aren't hazards in there. And there are -- downed power lines, gas leaks, unstable boulders and hot spots."Some roadways in and around the burn zone have been reopened to residents only, the lieutenant said."Please, folks, if you're not from the area, stay away," O'Boyle said. "It's not a time to be getting photographs. It's not a time to be flying drones. It's not a time to be getting video."A shelter for displaced residents was in operation at Steele Canyon in Spring Valley. Lakeside Rodeo Arena was available to shelter horses, and those in need of a safe place to board pets or livestock until the wildfire is extinguished also were encouraged to make use of one of two San Diego County Animal Services shelters, in Bonita and Spring Valley.Fire-related power outages kept about 142 addresses in the vicinity of the blaze without electrical service Friday morning, and possibly for several more days, according to SDG&E.Due to smoke drifting over much of the county because of the blaze, the San Diego County Pollution Control District advised that air-quality levels were unhealthy in parts of the region and advised people to limit outdoor activities until conditions improve.As the Valley Fire spread, Gov. Gavin Newsom declared a state of emergency for San Diego County, a move intended to free up federal relief funds.On Wednesday afternoon, the county Board of Supervisors voted unanimously to ratify a local emergency proclamation issued Sunday in response to the Valley Fire. The action will provide monies to address damage resulting from the blaze and make the region eligible for potential federal and state resources that would help repair roadways and other public infrastructure, and reimburse emergency-response costs, according to county officials.During Thursday's news conference, District 2 County Supervisor Dianne Jacob urged East County residents to put together an emergency "go kit" of supplies in case of evacuation orders, as well as download the SD Emergency App and sign up for crisis notifications at ReadySanDiego.org.She advised those who have lost their homes or other property to the wildfire to call the County Assistance Hotline at 858-715-2200 or email valleyfirerecovery.@sdcounty@ca.gov.Additionally, a "one-stop shop" county assistance center for victims of the blaze will be operating at Rancho San Diego Library, 11555 Via Rancho San Diego, Jacob told reporters. The services will be available Saturdays and Sundays 10 a.m. to 6 p.m. and Mondays 11 a.m. to 7 p.m. until further notice.Those who would like to help victims of the fire can make donations to a disaster-relief fund implemented by the San Diego Foundation, which can be accessed online at sdcountyrecovery.com. 4981

SAN DIEGO (CNS) - Following a two-week warning period, the City of San Diego will resume parking regulation enforcement across the city Thursday after months of limited enforcement due to the COVID-19 pandemic.According to the city, restarting parking enforcement will allow for increased turnover at parking meters and businesses, ensuring accessibility for patrons visiting local stores and restaurants.The city temporarily suspended parking enforcement on March 16 following the COVID-19 stay-at-home order, limiting enforcement to holiday or Sunday regulations only. Multiple attempts in the following months to reinforce parking regulations have been thwarted by ongoing shutdown orders.Citations continued to be issued for vehicles parked illegally at red, white, and blue painted curbs.On Oct. 1, limited enforcement with written warnings began. This two-week grace period was intended to acclimate city residents.Although street sweeping has continued during the public health emergency, the resumption of parking enforcement will allow city sweepers to once again sweep debris and dust pollution along the curb line to maintain improved water quality and reduce the potential for flooding as the rainy season approaches, city officials said. 1258

SAN DIEG

SAN DIEGO (CNS) - A report published Wednesday by the UC San Diego School of Medicine found that older adults use cannabis primarily for medical purposes to treat a variety of common health conditions, including pain, sleep disturbances and psychiatric conditions such as anxiety and depression.The study, published online in the Journal of the American Geriatrics Society, found that of 568 patients surveyed, 15% had used cannabis within the past three years, with half of users reporting using it regularly and mostly for medical purposes."Pain, insomnia and anxiety were the most common reasons for cannabis use and, for the most part, patients reported that cannabis was helping to address these issues, especially with insomnia and pain," said Christopher Kaufmann, co-first author of the study and assistant professor in UCSD's division of geriatrics and gerontology.Patients surveyed in the study were seen at the Medicine for Seniors Clinic at UC San Diego Health over a period of 10 weeks.The researchers also found that 61% of the patients who used cannabis started after they turned 60."These individuals were a unique group compared to those who used cannabis in the past. New users were more likely to use cannabis for medical reasons than for recreation," said Kevin Yang, co-first author and medical student at UCSD."The route of cannabis use also differed with new users more likely to use it topically as a lotion rather than by smoking or ingesting as edibles. Also, they were more likely to inform their doctor about their cannabis use, which reflects that cannabis use is no longer as stigmatized as it was previously," Yang said.With the rise in availability of CBD-only products, which are non- psychoactive cannabinoids in contrast to THC-containing products, the researchers said it is likely that future surveys will continue to document a larger proportion of older adults using cannabis or cannabis-based products for the first time."The findings demonstrate the need for the clinical workforce to become aware of cannabis use by seniors and to gain awareness of both the benefits and risks of cannabis use in their patient population," said Dr. Alison Moore, senior author and chief of the division of geriatrics at UCSD's School of Medicine. "Given the prevalence of use, it may be important to incorporate evidence-backed information about cannabis use into medical school and use screening questions about cannabis as a regular part of clinic visits."The researchers said future studies are needed to better understand the efficacy and safety of different formulations of cannabis in treating common conditions in older adults, both to maximize benefit and minimize harm. 2711

SAN DIEGO (CNS) - A woman accused of causing the death of a 74-year-old man in her care by withholding food from him over the course of several years was ordered to stand trial today on murder and other charges that could have her facing life imprisonment.Shirley Montano, 52, is accused of causing the Oct. 7, 2016, death of Robert Chagas, who died at Sharp Memorial Hospital of pneumonia, which prosecutors argue was exacerbated by severe malnutrition. Montano is additionally charged with kidnapping, elder abuse, false imprisonment, identity theft and perjury for allegedly limiting meals and keeping Chagas and an elderly woman essentially captive at the defendant's apartment, while spending the senior citizens' Social Security benefits for personal use.Deputy District Attorney Rebecca Zipp said the weight of both Chagas and the woman, Josefina Kellogg, ``plummeted once in (Montano's) care.'' Chagas was ``emaciated'' when he was brought into the hospital, where he died five days later. Montano, who allegedly posed as his niece, told medical personnel that Chagas did not wish to be resuscitated, according to testimony. Chagas' family members were only notified of his hospitalization after his death, they testified. ``She took on the duty of care and responsibility for his well-being, and that care fell so woefully short that he died in part due to inadequate nutrition,'' Zipp told San Diego County Superior Court Judge Esteban Hernandez at the conclusion of the week-long preliminary hearing.The prosecutor alleged that Chagas and Kellogg were kept isolated from others who lived with Montano and confined to their respective bedrooms. Montano's niece, who stayed with the defendant for about a year, said that for the first month she lived at her aunt's apartment, she was not even aware Kellogg existed because the woman would hardly ever emerge from her bedroom.Others who resided at Montano's apartment or visited the home were offered various explanations for Chagas and Kellogg's presence, including that Kellogg was Montano's sister or Chagas' wife, according to testimony. Kellogg testified that she stayed in her bedroom for several hours each day and feared angering Montano, who would hit her if she did not obey the rules of the house.Zipp said that Kellogg ``had no agency'' and would not even eat without Montano's permission, even when the defendant was in custody. Following Montano's arrest, she phoned her downstairs neighbor from jail and asked her to go into her unit to bathe Kellogg. The neighbor testified that she was reduced to tears upon seeing Kellogg's skeletal figure, and that the senior would not leave the apartment until the neighbor lied and said she had called Montano and received her permission. Kellogg also did not allow the had called Montano and received her permission. Kellogg also did not allow the to strike Kellogg -- because she feared moving the utensil might anger Montano, the neighbor testified.Zipp alleged that while keeping the seniors under her thumb, Montano spent their monthly benefits for personal purposes such as a new truck and frequently gambling their funds away at local casinos.``There is one person whose needs and wants she considered, and that are those of the defendant,'' Zipp said. Montano's attorney, Shannon Sebeckis, argued there was no evidence that Chagas' malnutrition was caused by Montano, and was not the natural result of aging. Sebeckis reiterated the testimony of San Diego County Chief Medical Examiner Glenn Wagner, who declined to classify Chagas' death as a homicide. Wagner said Chagas was not getting sufficient food, but he could not opine as to why, only that it appeared to be due to non-medical factors.No calls were made by family or medical professionals to Adult Protective Services in Chagas' case, which also contributed to Wagner's opinion not to classify his death as a homicide, the doctor said. While evidence was presented that Chagas once told a doctor that his weight loss was due to not having enough money for food, Sebeckis said this was not proof that Montano was taking his money or withholding food, especially in light of Chagas' issues with handling his own finances. Chagas' family members testified that an accident that occurred at childbirth had left him ``slow,'' as his brother Richard described it, and that throughout his adult life, Chagas was susceptible to being scammed and had lost exorbitant amounts of money to fraudsters in the past, leading family members to take an active role in assisting him with taxes and paying bills.Sebeckis argued there was little direct evidence that Montano didn't feed the seniors, as plenty of her past roommates said they had seen her providing food for Chagas and Kellogg. The attorney also said Chagas was not confined at all, and regularly left the apartment each day for his janitorial job at Sea World, which he attended with a sack lunch prepared by Montano each day.Sebeckis said it was ``pure speculation and conjecture'' that Montano didn't use the seniors' funds to pay for their basic needs. Hernandez said the murder charge was the most difficult for him to rule on, but said that the totality of circumstances held Montano culpable in Chagas' death, saying the seniors ``basically wasted away while in her care.''Montano is being held on million bail and will return to court April 11 for a Superior Court arraignment. 5423

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