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SAN DIEGO (CNS) - San Diego County will remain in the red tier of the state's four-tier COVID-19 reopening plan for at least another week, the California Department of Public Health confirmed Tuesday.The county's state-calculated, adjusted case rate is 6.8 daily infections per 100,000 residents, up from 6.7 the previous week. The unadjusted case rate was 7.2, up from 7 last Tuesday. The adjusted rate is due to San Diego County's high volume of tests, but still leaves the county on the precipice of the state's most restrictive tier -- purple.The testing positivity percentage is 3%, considerably less than last week, and that number would qualify for the third -- or orange -- tier.To remain in the red tier, the county must continue to have an adjusted case rate of less than 7.0 per 100,000 residents and a testing positivity percentage of less than 5%.A new metric the state released Tuesday is the health equity metric, which finds the positivity rate of the county's least healthy quartile. San Diego County's health equity is 5.7%, almost double the county's average positive testing percentage.According to the state guidelines, the health equity will measure socially determined health circumstances, such as a community's transportation, housing, access to health care and testing, access to healthy food and parks.Neighborhoods are grouped and scored by U.S. Census tracts on the Healthy Places Index, https://healthyplacesindex.org/. Some of the unhealthiest neighborhoods include Logan Heights, Valencia Park, downtown El Cajon and National City.According to county data, the county's health equity testing positivity percentage is 6.2 and is in the red tier. Wooten said that complicated metric will be explained this week when the state releases an official "playbook" of how it is calculated and what it means to communities throughout the state as they attempt to reopen.The metric will be used to determine how quickly a county may advance through the reopening plan, San Diego County Public Health Officer Dr. Wilma Wooten said last Wednesday.A community can only be as well as its unhealthiest quartile, she said, and while counties with a large disparity between the least and most sick members of a community will not be punished for the disparity by sliding back into more restrictive tiers, such a disparity will stop counties from advancing to less-restrictive tiers.To advance to the orange tier, the county would need to report a metric of less than 5.3%.The California Department of Public Health will update the county's data next Tuesday, Oct. 20.County public health officials reported 195 new COVID-19 infections on Monday, raising the total to 50,746 cases. The number of deaths in the region from the illness remains at 826.Of the 7,573 tests reported Monday, 3% returned positive, bringing the 14-day rolling average percentage of positive cases to 2.9%. The seven-day daily average of tests was 10,424.Of the total number of cases in the county, 3,692 -- or 7.3% -- have required hospitalization and 854 -- or 1.7% of all cases -- had to be admitted to an intensive care unit.One new community outbreak was reported Monday in a restaurant/bar setting. In the past seven days, 46 community outbreaks were confirmed, well above the trigger of seven or more in a week's time. A community setting outbreak is defined as three or more COVID-19 cases in a setting and in people of different households over the past 14 days.Over the weekend, the county allowed private gatherings of up to three households, based on the state's new guidance issued Friday.The gatherings must take place outdoors. If at someone's home, guests may go inside to use the bathroom. Participants in a gathering need to stay at least six feet apart from non-household members and wear face coverings. Gatherings should be kept to two hours or less, the new guidelines state. 3892

SAN DIEGO (CNS) - The California Highway Patrol arrested 58 people for alleged intoxicated driving in San Diego County during its annual Thanksgiving holiday enforcement period this year.CHP officers made the arrests between 6 p.m. Wednesday and 6 a.m. Sunday in the agency's jurisdiction in the county, which includes all freeways, as well as roads in unincorporated areas.All available officers were to be deployed to catch drunk or drug- impaired drivers, speeders and other traffic violators during the enforcement period.Last year, 66 people were arrested for impaired driving in San Diego County over the Thanksgiving holiday.Statewide, the agency made 855 arrests for impaired driving during the enforcement period, down from 965 last year. And 44 traffic fatalities were reported across all California jurisdictions -- two of which were in San Diego County. Last year, California saw the exact same number of traffic deaths during Thanksgiving enforcement. 972

SAN DIEGO (CNS) - The San Diego County District Attorney's Office Friday released letters detailing the office's review of four deputy-involved shootings last year by the San Diego County Sheriff's Department. 222

SAN DIEGO (CNS) -- The San Diego Padres will face the Arizona Diamondbacks in their season opener at Petco Park Friday evening on an opening day unlike any other in their 52-season history.There will be no spectators present because of public health directives prohibiting public events and gatherings stemming from the coronavirus pandemic. Cardboard cutouts of players' family members and loved ones will be placed in the seats behind home plate.With the absence of fans all 30 MLB teams will use ambient background audio to create crowd sounds during the season. MLB is providing each team with an array of crowd sounds and a touchpad device that can be integrated into their ballpark sound system to help manage the playing of the sounds.RELATED: Cardboard Padres fans to fill Petco Park's stands during 2020 seasonThe crowd sounds will be audible to on-field personnel and during television and radio broadcasts.The crowd backgrounds and reactions provided to the teams are all derived from exclusive, original source audio recorded by developers of the MLB The Show video game at MLB regular season games.The audio was edited into sound cues used in MLB The Show 20, with a focus on authentically replicating crowd sound and behavior. Selected content was then further refined for real-time playback over ballpark audio systems and allows for about 75 different effects and reactions to be used during a game.The crowd sounds will work in conjunction with stadium announcers, walkup music and in-stadium video to replicate the in-game experience as closely as possible.The coronavirus pandemic prompted MLB to make several rule changes for the 2020 season, which has been shortened to 60 games per team, 102 less than usual.National League games will include the use of the designated hitter for the first time in an attempt to avoid pitchers being injured when they are batters or baserunners. The DH had been limited to American League games and interleague games when an American League team is the home team.RELATED: Local company to help fill silence during MLB seasonEach half-inning of a game going into extra innings will begin with a runner on second base in an attempt to reduce long games and the strain they place on pitchers.Teams may have up to 30 players on their active rosters for the first two weeks of the season, five more than usual. The active roster must be reduced to 28 players by Aug. 6 and 26 by Aug. 20. Teams will be permitted to have a three-player taxi squad on road trips, one of whom must be a catcher.Before the coronavirus outbreak, MLB adopted a rule requiring pitchers to face at least three batters before being relieved in an attempt to speed up the game.Major League Baseball has instituted a set of health and safety protocols intended to reduce the spread of the coronavirus.The protocols include calling for players, umpires and other on-field personnel "to practice physical distancing to the extent possible within the limitations of competition and the fundamentals of baseball;" strictly enforcing prohibitions against unsportsmanlike conduct to prevent unnecessary physical contact and support physical distancing between individuals on the playing field; requiring teams to provide expanded dugout and bullpen space; and having all non-playing personnel wear face coverings at all times in the dugout and bullpen.RELATED: Fan hoping to "share" view overlooking Petco Park during baseball seasonThe opener is Jayce Tingler's debut as Padres manager, replacing Andy Green, who was fired with eight games remaining last season when the Padres had a 69-85 record and were fourth in the five-team National League West.The Padres lost seven of their eight games under interim manager Rod Barajas to finish last in the division, 36 games behind the champion Los Angeles Dodgers.Tingler described his feelings as "excited, nervous, anxiety, I think all the feelings that naturally you should have and they're just good reminders to know that we're alive."Tingler spent last season as the major league player development field coordinator for the Texas Rangers.Right-hander Chris Paddack will be the Padres starting pitcher. He was 9-7 with a 3.33 ERA in 26 starts as a rookie last season and 1-0 with a 1.08 ERA in three starts against the Diamondbacks.The Padres will be the second team in 100 years to start a rookie or second-year pitcher on opening day in back-to-back seasons, according to the Elias Sports Bureau, the official statistician for MLB. The other was the 1966- 67 Kansas City Athletics with Hall of Famer Catfish Hunter in 1966 and Jim Nash in 1977.Left-hander Madison Bumgarner will start for Arizona in his debut with the Diamondbacks after pitching for the San Francisco Giants since 2009. Bumgarner was the Giants opening day pitcher last season against the Padres, allowing two runs and five hits in seven innings in a 2-0 loss.The 6:10 p.m. game will be telecast by Fox Sports San Diego. 4966

SAN DIEGO (CNS) - People who visited the Lucky Lady Casino in San Diego on weekends over a six-month period ending in late September may have been exposed to tuberculosis, county health officials reported Tuesday.The Health and Human Services Agency is working with the casino to inform patrons and staff who may have been exposed between Feb. 23 and Sept. 30, said county spokesman Jose A. Alvarez.HHSA will provide testing at no cost to patrons who were potentially exposed, Alvarez said. Testing will be offered from 10 a.m. to 1 p.m. on Dec. 8 and 9 at the casino at 5526 El Cajon Blvd., he said.People who visited the casino are encouraged to contact their doctor or county TB Control if they cannot get tested on Dec. 8 or 9, Alvarez said.Beginning Tuesday, testing is also being offered to casino staff at no cost by county Occupational Health, according to HHSA officials, who noted it can take eight to 10 weeks after exposure for someone to test positive for TB.Those wanting more information may call Lucky Lady Casino at (619) 287- 6690 or the county TB Control Program (619) 692-8621.Dr. Wilma Wooten, the county's public health officer, said most people who are exposed do not become infected. However, testing is recommended because initial infection usually has no symptoms, she said.Tuberculosis is transmitted from person-to-person through indoor air during prolonged contact with an infectious individual. Symptoms include persistent cough, fever, night sweats and unexplained weight loss.The number of annual TB cases in San Diego County has decreased since the early 1990s, Alvarez said, with 258 cases reported in 2016, 237 in 2017 and 163 cases so far in 2018. 1691

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