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SAN DIEGO (CNS) - For yet another week, San Diego County avoided the fate of dropping into the dreaded purple tier of California's coronavirus monitoring system, with an adjusted case rate of 6.5 new daily COVID-19 cases per 100,000 population.While the county's unadjusted case rate is 7.4 per 100,000 -- enough to be in the most restrictive purple tier, which has a floor of 7 per 100,000 -- the high volume of tests the county is able to perform daily allows for an adjustment from the state. This adjustment has kept the county in the red tier for several weeks, saving it from having to shut down nearly all non-essential indoor businesses.The state data, which is updated every Tuesday, reflects the previous week's case data to determine where counties stand in the state's four-tiered reopening system.San Diego County did show modest improvement, dropping 0.4 from last week's unadjusted case rate of 7.8. The testing positivity rate continued an upward trend, rising 0.2% from last week to reach 3.5%, but remains low enough for this metric to remain in the orange tier. If a county reports statistics meeting metrics in a higher tier for two consecutive weeks, it will move into that more restrictive tier for a minimum of three weeks.The state's health equity metric, which looks at the testing positivity for areas with the lowest healthy conditions, dropped from 5.5% to 5.1% and entered the orange tier. This metric does not move counties backward to more restrictive tiers, but is required to advance.County health officials reported 269 new COVID-19 infections and seven deaths Tuesday, bringing the case total to 55,210 and the death toll to 877.Five men and two women died between Oct. 22 and Oct. 25, with one death occurring July 19. Their ages ranged from early 60s to mid-80s. All had underlying medical conditions.Of the 10,456 tests reported Tuesday, 3% returned positive, bringing the 14-day rolling average percentage of positive cases to 2.7%. The 7-day daily average of tests is 11,173.Two new community outbreaks were confirmed Tuesday, one in a daycare and one in a business. In the past seven days, 24 community outbreaks were confirmed. A community outbreak is defined as three or more COVID-19 cases in a setting and in people of different households over the past 14 days.Of all cases, 3,875 -- or 7% -- have required hospitalization. And 898 -- or 1.6% -- of all cases and 23.2% of hospitalized cases had to be admitted to an intensive care unit.All students at San Diego State University, meanwhile, remained under a stay-at-home advisory announced Thursday. The advisory began at 6 p.m. Friday and will run through Nov. 2 at 6 a.m. University officials said the move was made to discourage students from participating in Halloween events where physical distancing cannot be done. Students are advised to stay home unless they have an essential need.As of Tuesday afternoon, the university has had a total of 1,257 COVID- 19 cases since the fall semester began, including 421 among students living on-campus, 807 among students living off-campus, 16 among faculty and staff and 13 among "visitors" -- defined as someone who has had exposure with an SDSU- affiliated individual.UC San Diego announced Monday night that, as a result of viral shedding, it had detected COVID-19 in wastewater in the Revelle College area between 11:30 a.m. Saturday and 9:45 a.m. Monday.The virus is shed from the gastrointestinal tract and is present in feces early in the infection. UCSD has the ability to identify the virus in wastewater, even before someone tests positive.The college advised anyone who used the restroom near the Revelle College area between those dates and times to get tested for COVID-19 out of an abundance of caution.Less than a week after fully reopening its schools, the Vista Unified School District reported four additional COVID-19 cases Monday, including two Mission Vista High School students, one Roosevelt Middle School student and one Alamosa Park Elementary School student.On Tuesday, the district confirmed two additional cases -- one at Mission Meadows Elementary School and one at Alamosa Park Elementary School.According to the district's COVID-19 safety dashboard, it has recorded 10 cases since Sept. 8, with six of those coming after Oct. 20.The VUSD Board voted Tuesday to shut down at least one campus for two weeks starting Thursday as a result of the rising cases. At least 400 students and nearly two dozen staff members have been ordered to quarantine.Mission Vista High School will move to distance learning for at least two weeks starting Thursday, while Alta Vista High School and Roosevelt Middle School also face potential closures. 4713

SAN DIEGO (CNS) - A woman whose Nissan Versa ended up underneath a semi-truck on Interstate 8 in El Cajon Monday escaped serious injury and was arrested on suspicion of drunken driving, authorities said. Heidi Farst, 56, of El Cajon was driving westbound on I-8 near Main Street when her compact car was rear-ended by another vehicle just before 6 a.m. Farst's car then collided with the semi-truck, flipped over and landed upside down underneath the rig, California Highway Patrol Officer Travis Garrow said. Farst was freed from the wreckage and transported to Sharp Memorial Hospital for what were described as minor injuries, a CHP dispatcher said. She was then booked into the Las Colinas Detention Facility on suspicion of DUI, according to Garrow. No other injuries were reported. The crash triggered lane closures and a SigAlert. All lanes were reopened shortly after 8 a.m. 890

SAN DIEGO (CNS) - A pedestrian was fatally struck by a vehicle Wednesday morning in the Midway District, police said.Dispatchers received a call shortly before 5 a.m. from a driver who reported hitting a pedestrian on Sports Arena Boulevard near West Point Loma Boulevard, just south of Interstate 8, San Diego police Officer Scott Lockwood said.The victim, a man believed to be in his 30s, was taken to UCSD Medical Center, where he was pronounced dead, Lockwood said.The driver remained at the scene and cooperated with investigators, but no details about the driver or the vehicle were immediately available, the officer said.The circumstances leading up to the crash were under investigation. 704

SAN DIEGO (CNS) - A UC San Diego Health professor is one of 85 members in the health and medicine field elected to this year's class of the National Academy of Medicine, UCSD announced today.Dr. Lucila Ohno-Machado is the chair and founder of UCSD's Department of Biomedical Informatics."Bioinformatics and big data are increasingly a foundation and driver of modern medicine. Lucila is an undisputed expert and pioneer in both," said Dr. David Brenner, UCSD's vice chancellor of health sciences. "Her leadership and dedication to scientific excellence make her an ideal NAM member. We are proud of the many research and education programs she has built here, helping UC San Diego remain a leader in these critical fields."The 2018 academy class includes 75 regular members and 10 international members. Current members elect new members each year, focusing on medical professionals who have made significant contributions in the medical science, health care and public health fields. Academy members elected Ohno-Machado for her work creating an algorithm that allows medical professionals to share clinical data while maintaining a patient's privacy, according to the NAM.Ohno-Machado is an informatics and technology professor at the School of Medicine and a founding member of the UCSD Halicioglu Data Science Institute. In addition to her work at UCSD, Ohno-Machado is a research health scientist for San Diego's Veterans Affairs healthcare system, co-leads the 1474

SAN DIEGO (CNS) - After hours of public input and deliberation, the San Diego County Board of Supervisors today unanimously approved a .5 billion operating budget for the 2020-21 fiscal year.Previously .4 billion, the revised budget reflects an additional .2 million in recent funding requests, including million for rental assistance, millions of dollars in road projects and an office dedicated to racial equality.Tuesday's vote, held via teleconference, follows two public hearings earlier in August, when board members heard funding requests from residents.Normally held in late June, the budget approval process was delayed due to the COVID-19 pandemic.Supervisors thanked Chief Administrative Officer Helen-Robbins Meyer and her staff for crafting a budget during an especially challenging time.``Putting together a budget is a big job,'' said board Chairman Greg Cox.According to a summary provided by Robbins-Meyer's office, the county is spending .5 billion on health & human services, billion for public safety, 6 million on finance and general government, 2 million on land use and environment, 9 million on various items and 5 million on capital improvements.``I think we can be proud that we have a good, solid and well-balanced budget,'' Supervisor Dianne Jacob said.Supervisor Jim Desmond credited staff members for ``for fighting to do the right thing. This is not easy.''Supervisor Kristin Gaspar said while the coronavirus pandemic has caused great economic hardship, using the general fund to pay for every request could result in a major shortfall for county finances.Gaspar said she supported using funds from the federal coronavirus relief bill to pay for rental assistance.``I know that people are struggling,'' Gaspar said, adding that her constituents have called her office and shared their anguish.During the public hearing, dozens of callers made a final pitch for more county funding.Some demanded the county defund law enforcement and provide even more money for behavioral health services.Others criticized supervisors' funding requests, including million for three traffic roundabouts in Desmond's district, and million for an equestrian park in Jacobs' district.Jacob countered that the park, to be built in Lakeside, has been in the works since 2012. She added that center will bring needed jobs, and ``become an economic engine for that community and this region.'' Desmond said that years ago, the county approved the roundabouts in Rancho Santa Fe.The roundabouts are needed to deal with major traffic, Desmond said. ``If we don't build this now, we'll pay more later,'' Desmond said. During a news conference earlier Tuesday, Supervisor Nathan Fletcher proposed almost million in additional social services.However, that number was reduced to million during the board meeting based on suggestions from his fellow board members. Fletcher's requests included:-.4 million for the county to provide mental health, substance misuse and care coordination services at permanent supportive housing locations;-.5 million for staff to develop a plan to provide translation services in multiple languages;- million to provide low-income families with access to the Internet for distancing learning during the school year;- million for income replacement stipend for workers who get COVID-19 and aren't eligible for sick pay or other benefits if they stay home; and- million for the Legal Aid Society of San Diego to provide landlord/tenant counseling to help prevent evictions.The board also approved Fletcher's request for nearly million in environmental-related projects, including water-quality monitoring.``We made this budget better by working with the community to drive significant changes reflecting our values and their needs to ensure more equity, opportunity and fairness, particularly for those impacted by COVID-19,'' Fletcher said. 3941