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SAN DIEGO (KGTV) -- Health providers in San Diego County will start receiving new training this week to better spot signs of domestic violence strangulation.Health professionals at all of the county's major health providers will take part in new training Wednesday, San Diego County District Attorney Summer Stephan said. Additionally, thousands of posters that read, "Only you decide what goes on your neck," will go up in clinics, urging victims to report strangulation.The ,000 campaign, called San Diego County Health CARES, was announced during Domestic Violence Awareness month. It is the latest effort to address strangulation crimes in San Diego County, which has seen prosecutions of strangulation-related felonies jump four-fold in the last six years."This initiative is another big step in fighting domestic violence," Stephan said. "We know that victims are often reluctant to report to police but will trust their healthcare provider, so this is an opportunity for early detection and intervention that could save lives."Over the last 22 years, strangulation accounted for 13 percent of domestic violence homicides in San Diego County, she said.In 2017, police agencies in San Diego County agreed to adopt a new protocol for responding to suspected strangulation cases in which officers now refer victims to forensic nurses for evaluation. The protocol is the first of its kind in California and among the first in the country, said Palomar Forensic Health Services director Michelle Shores.The change has had a significant impact on prosecutions, Stephan said. In 2015, there were 66 prosecutions for strangulation. In 2018, the number jumped to more than 250.In more than half of strangulation cases, there are no marks or physical signs of injury on the victim's neck, making detection more difficult, said San Diego County Deputy Chief Medical Officer Dr. Jennifer Tuteur. That makes it even more important that doctors know what kind of questions to ask patients and what other symptoms to identify.Symptoms of strangulation may include vision and hearing loss, lapses in memory, pain while swallowing, and vocal changes, Shores said. 2163

SAN DIEGO (KGTV) — For the fourth consecutive year, the USS Champion has won a contest held between ships at Naval Base San Diego over which crew could put together the best decorations."It's just a great opportunity for the crew to really come together, enjoy some time not focusing on the day to day, but to really express themselves," said the ship's commanding officer, Lt. Commander Matthew Yokeley.The Champion, an Avenger-Class Minesweeper, was covered in decorations. Lights, bows, and bells lined the railings and were struck all the way to the top of the mast. Giant inflatables were mounted on the deck, along with a Christmas tree. The lights were synchronized to flash with a holiday music show.This is a big deal for us. Christmas lights are pretty competitive," said Petty Officer Pierce Cloninger. "We like to win. They don't call us Champion for nothing." 880

SAN DIEGO (KGTV) - Hawaii recently passed a ban on sunscreens containing certain chemicals deemed harmful to their coral reefs.With more than 70 miles of coastline in San Diego County, the question of whether a similar ban could affect our region has been brought to light.The chemicals in question are oxybenzone or octinoxate, both of which are found in many commonly purchased sunscreens.RELATED: What ingredients to avoid, look for in reef-safe sunscreensA study by the Haereticus Environmental Laboratory found the chemicals seep into young coral and lead to coral bleaching, which occurs when an increase in sea temperatures kills the algae that grow inside coral, turning reefs white. This eliminates other nutrients that sustain marine life.Researchers say 14,000 tons of sunscreen lotion gets into reefs around the world every year.We asked our 10News Facebook fans how they would feel about a similar ban in California. At press time, 81 percent said they would support similar legislation in our state:When asked for comment regarding a similar California ban, the Governor's Office told 10News they do not comment on any potential legislation and there is currently no bill in the works.While San Diego doesn't have a robust coral ecosystem, the region is home to scenic coastlines that draw tourists from all over the world and off-shore fishing that fisherman enjoy just the same.RELATED: Hawaii moves to ban certain sunscreens to save coral reefs"The physical block more hitting and going away, the more chemical blockers are causing a chemical reaction," Mark Vierra, a dermatologist in Rancho Bernardo, told 10News. "You think about the old surfer with the white on the nose, people didn't always love that but now they're micronized, so I have a physical block on now and it doesn't look totally white."There are no studies on how sunscreens affect San Diego's coastline, which is home more to kelp forests than coral reefs. For now, Vierra suggests picking one and sticking with it."I always want patients to pick one that they like and they'll use consistently and reapply," Vierra said. "That's probably more important than which individual one you pick." 2214

SAN DIEGO (KGTV) - Emergency bluff repairs are underway at Sunset Cliffs.The city is working to make the area safer after a significant collapse months ago.Held up by a crane, workers are scaling the bluff in a man basket, removing loose dirt and soil that the city says is hazardous.RELATED: 300

SAN DIEGO (KGTV) — Documents show the man accused of pummeling a teenage Syrian refugee on a trolley car has a history of run-ins with authorities.On Oct. 15, Adrian Vergara was accused of the crime after approaching the teen and asking him if he's Mexican."He responded, no I am Arab. He does not speak a lot of English, and with that response the person began to pummel him in the face," Geneviéve Jones-Wright, Legal Director, Partnership for the Advancement of New Americans, said.Tuesday, San Diego Police said they had arrested Vergara on suspicion of assault with force and violation of civil rights.RELATED: Man accused of attacking Syrian refugee aboard trolley car arrested10News dug into Vergara's background and found a history of violent incidents. In 2012, court documents say Vergara threatened a man with a billy club. He did community service in the South Metro Career Center. A letter says he worked well there with special needs students as well as general students. A certificate also showed he completed a 12-hour anger management program in 2013 and was called an outstanding professional candidate.RELATED: Teen attacked on trolley in possible hate crimeIn 2015, a case was dismissed accusing Vergara of attacking another man. And in 2016, he was charged with grand theft and burglary for breaking into the Central Library.Later that year, documents say Vergara violated a restraining order against his ex-girlfriend, kicking her front door, texting her and in a phone call, cursing at her and saying, "if you don't talk to me I'm going to go to your job and cause a scene. I don't care about my life." Documents show he called her 20 times in 30 minutes.Court documents also show a carjacking charge at the beginning of 2017.In October 2017, Vergara was charged for beating up a man and given a stay away order from the MTS Imperial Transit Center.The most recent document shows he violated a court order, put in place to prevent domestic violence in January 2019. 1996