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SAN DIEGO (KGTV) - The doctor responsible for one third of vaccine exemptions in the San Diego Unified School District fired back Thursday at critics who say her science isn’t sound. Dr. Tara Zandvliet has a refrigerator full of vaccines at her office in South Park. She administers them to her young patients, but she also writes medical exemptions for some children. “It’s the kids that are sensitive that you need to just take a little bit different tack with,” said Zandvliet. Zandvliet wrote exemptions for 162 of the 487 children who provided SDUSD with a medical reason to avoid the vaccines required for entry. Despite the number, Zandvliet says she does not consider herself anti-vaccine. “I’m not gonna write a medical exemption just cause someone wants it. I’m not gonna write it or not write it just because the school says ‘hey we have too many of them’,” she said. Since California became one of three states to ban personal belief exemptions for vaccines, the number of medical exemptions has risen. So has the number of children being vaccinated. San Diego Unified officials issued a statement about the situation, saying in part the district "has noticed some physicians issuing exemptions that appear to be excessively frequent and based on criteria that are not aligned with guidelines from the Centers for Disease Control and Prevention.” Zandvliet’s website says she will grant an exemption based on factors like family history of allergies or autoimmune disease, neither of which are recognized by the Centers for Disease Control as valid reasons for exemption. “I refuse 7 out of ten; the three that come in they've convinced me they have proof they've given me medical records from family members and it’s there,” Zandvliet said. Other doctors disagree with Zandvliet’s reasoning, including State Senator Richard Pan, who is also a physician. He was behind the law to get rid of the personal belief exemption and is now trying to make it harder for parents to get a medical exemption. SDUSD officials say they are working with Dr. Pan and other medical organizations to address concerns about the increase of medical vaccine exemptions. 2168

SAN DIEGO (KGTV) -- The California Department of Public Health made a quiet announcement late Monday night that could be a welcoming relief for families all over the state looking for outdoor activities amid the pandemic.Health officials are allowing counties to reopen outdoor playgrounds located in parks, campgrounds, and other publicly accessible locations.But guidance is firm and strict as the state continues to battle the deadly coronavirus pandemic."COVID-19 continues to pose a severe risk to communities and requires all people in California to follow necessary precautions and to adapt the way they live and function in light of this ongoing risk," state health officials said.At the top of the list of requirements is the rule on face coverings. "Face masks over the mouth and nose are required for everyone 2 years of age or older with caregiver supervision at all times to ensure face mask use," officials said.Other rules include a 30-minute limit on visits when others are present, no eating or drinking in playgrounds, and elderly persons and others with underlying medical conditions should avoid playground when others are present."This guidance does not apply to indoor playgrounds or family entertainment centers," the state said.San Diego County has not yet issued a timeline for when the caution tape wrapped around local playgrounds since March will finally come down.Last Tuesday, a group of two dozen state lawmakers sent a letter to Governor Gavin Newsom asking him to create clear guidelines for reopening. San Diego Mayor Kevin Faulconer tweeted his support for the letter.A recent report from the American Academy of Pediatrics reinforced guidelines that say kids 3-5 years old should get three hours of physical activity every day. Kids 6-17 need at least one hour.Doctors, however, still urge caution."Playgrounds are gold mines for transmissions for other diseases," says Dr. Christian Ramers, an Infectious Disease Specialist at Family Health Centers of San Diego."Kids get runny noses. There's a lot of touching there. Kids are touching everything with their hands. So I think there's uncertainty."READ STATE GUIDANCE BELOWOutdoor Playground Definition:Fully outdoorsPublicly accessibleFree to enter and useOperated by a city, state, county, or federal governmentDesigned primarily to serve nearby residents within a half a mileCan provide State-mandated outdoor space for preschools (which could be scheduled in advance to avoid overlapping use)Typically includes recreational equipment, like play structures, slides, swings, etc. intended to enrich children's physical health and developmentVisitors to outdoor community playgrounds must comply with the following requirements:1. Face masks over the mouth and nose are required for everyone 2 years of age or older with caregiver supervision at all times to ensure face mask use2. Do not use the playground when different households are unable to maintain a physical distance of 6 feet or when the capacity limit of [number of children and number of adults] has been reached3. Caregivers must monitor to keep adults and children from different households at least 6 feet apart4. Consider coming on different times or days to avoid wait times and potential crowded times5. No eating or drinking in playground, to ensure face masks are worn at all times6. Wash or sanitize hands before and after using the playground.7. Elderly and persons with underlying medical conditions should avoid playground when others are present8. Limit visit to 30 min per day when others are presentNote: Facility operators should download and print this flyer to post at all outdoor playgrounds.All playground facilities operators should review and follow these recommendations:1. An adult must actively supervise each child at all times to make sure that children two years of age or older keep their face covering over their nose and mouth and stay 6 feet away from adults and children outside their household.a. Children who are supervised by the same adult must stay together in the same play area or play structure at all times, to allow active supervision.b. If an infant or child requires attention (nursing, diapering) that precludes an adult from actively supervising other children using the playground, the adult should ask the other children to leave the play structure/area and stay by the adult's side until needed care is complete.2. People standing outside the playground, including people waiting to enter the playground, should remain 6 feet away from areas of the playground used by children and adults.3. Maintain six-foot distancing between children and adults from different households including children using or waiting to use play structures or play areas, and families waiting to enter the playground.4. Increase cleaning of frequently touched surfaces, daily as practicable.5. To the extent feasible, provide handwashing stations or sanitizer to facilitate hand hygiene, especially during times of heavy usage. Use a hand sanitizer containing (60% ethanol or 70% isopropanol). Never use hand sanitizers with methanol due to its high toxicity to both children and adults.6. Post the maximum number of children allowed at the entrance of each playground.a. Determine and post the maximum occupancy of each play structure, (e.g., climbing structures, slides, swings, spinning structures, and sand areas) with 6 foot vertical and horizontal distancing.b. Determine and post the maximum occupancy for supervising adults to ensure that each adult can maintain six feet of distance from other adults and children.c. Provide directions on how to wait in line when maximum playground occupancy has been reached.7. Mark playgrounds to help children and adults maintain 6 foot distancing.a. Mark spaces for families to stand while waiting to enter the playground. The spaces should be far enough apart to allow 6 feet of distance between households.b. For play structures or play areas that can hold more than one child while allowing 6 foot distancing:i. Post the maximum number of children allowed on each structure/in each area to allow 6 foot distancing vertically and horizontally.ii. For play structures or areas that can hold more than 1 child, consider marking with tape or other visual indicators to help children assess whether they are 6 feet apart.c. Mark designated spaces 6 feet apart for children to stand while waiting to use a play structure/area.Additional ConsiderationsIf there is a pre-scheduled activity that will access the playground, the playground must be closed to the broader public during that time.Child care programs, schools, out-of-school time programs and other programs for children and youth where children must remain in cohorts may not use playgrounds during times when they are open to the public. However, if the playground operator permits, the childcare, school or other program may reserve a time for the exclusive use of the playground by the program. While on the playground, cohorts should maintain separation and avoid mixing. 7063

SAN DIEGO (KGTV) - The coronavirus outbreak is filling many with fear, anxiety and depression. To cope with these feelings, 10News spoke with licensed psychologist Dr. Michelle Carcel on strategies to get through the chaos."Evolutionarily we are not built for quick adaptation." Carcel said, that's why the reptilian part of our brain is freaking out. "One of my favorite sayings, it's not mine but I use it all the time, is relax nothing is in our control."READ RELATED: San Diego County libraries go digital to fight spread of coronavirusCarcel said mindfulness activities like yoga and meditation bring you into the moment and activate the parasympathetic nervous system, to calm the brain.Her first piece of advice for coping with all these changes to your daily life is to set a schedule. A schedule for you and any kids will bring back a sense of normalcy, and comfort.If you're feeling down, or isolated, find a furry friend. Adoptions and fostering is up in San Diego.RELATED: Where to get help amid coronavirus"Take time to walk your dog, play with your cat. They relieve stress quite a bit, so that's good," Carcel said smiling.Checking on a friend during this time of isolation is also important. "That is actually one of the worst times for folks who are specifically suffering from domestic violence concerns. We must take this incredibly seriously," Carcel added. She urges anyone who needs help to call the Crisis Line at 888-724-7240.Another serious issue we're facing is financial stress, many losing their job from the shut down. Carcel says while these are unprecedented times, we will endure, "here's the thing, humans are resilient. We have made it through a bunch of different, terrible things in our evolutionary process and we must remember that."She advises enjoying the time we have inside, by indulging in a book, playing a board game, or calling someone you love."Just surf the wave, we're going to make it through," she said.OPTUM has a free 24/7 helpline for anyone who needs emotional support, you can call 866-342-6892. 2060

SAN DIEGO (KGTV) - The California Highway Patrol said a person arrested at gunpoint on Interstate 15 in San Diego Thursday was suspected of driving illegally in the HOV lane and leading an officer on a pursuit.The chase happened on southbound I-15 just south of Aero Dr. at 5:30 p.m.Officers said the driver was in the high-occupancy vehicle lane and failed to pull over, leading to the brief pursuit.There are no reports of any injuries or a reason why the driver did not yield for the traffic stop. 508

SAN DIEGO (KGTV) - The City of San Diego is planning on expand its designated scooter parking zones to Ocean Beach. The Mayor’s staff recently sent a list and map of 106 prospective locations to the Ocean Beach planning board. The scooter corrals are similar to the on-street parking the city has already installed downtown. The ‘Micro Mobility Parking Corrals’ - as the city calls them - are installed at red curb spaces that do not block traffic, fire hydrants or impede visibility. The Mayor’s office says it is working with community groups to find suitable locations in OB and they plan to have feedback by June 10th. 630

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