San Diego County health officials have reported a huge jump in COVID-19 cases -- a record 1,087 -- and no additional deaths, bringing the county's totals to 64,768 cases and the death toll remaining at 926.
Sunday was the fifth-consecutive day that more than 600 new coronavirus cases were reported by the county.
On Saturday, the county set a record of 736 new cases. On Wednesday, a record 661 cases were reported in the county -- surpassing the 652 cases reported Aug. 7. Another 620 cases were reported Thursday.
Tootie Smith, a Republican and incoming chairwoman of the Clackamas Board of County Commissioners, took to Facebook on Saturday to announce that despite new restrictions,Watch Freaky 2020 top Netfilix movies she plans to celebrate Thanksgiving “with as many family and friends” as she can find.
India sees lowest single day rise in coronavirus cases since July
From CNN’s Esha Mitra in New Delhi Now Watch Freaky (2020) Online Full
India reported 30,548 new coronavirus cases for the past 24 hours on Monday, the lowest single day rise since July 15, Freaky (2020) full Movie according to a CNN tally of data from watch the Freaky Full Movie Indian Ministry of Health.
Monday also marks the ninth consecutive day that new infections have fallen below 50,000. Watch Freaky (2020) full English FullMovie Online. That’s despite the celebrations and gatherings for Diwali — Freaky (2020) full Online streaming the festival of lights that fell on November 14 this year.
The Health Ministry attributed the declining new cases to the “successful dissemination of Covid Appropriate Behaviour among the varied population groups”.
Download our free NBC 7 mobile app for iOS or Android to get San Diego’s latest First Alert Weather and breaking news.
“We have not seen cases this high in months, and it's a clear indication that COVID-19 is widespread,'' said Dr. Wilma Wooten, the county's public health officer.
“These totals also show people are not following the public health recommendations that we know work to prevent getting and passing COVID-19.”
Wooten added that in the weeks following Halloween, this record case jump is a warning sign people “need to follow public health guidance throughout the upcoming holiday season.”
This comes as state data has landed the county in the most restrictive tier of the state's COVID-19 reopening plan. The restrictions associated with the purple tier went into effect just after midnight Saturday.
Many nonessential businesses are now required to move to outdoor-only operations. These include restaurants, family entertainment centers, wineries, places of worship, movie theaters, museums, gyms, zoos, aquariums and cardrooms.
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The restrictions include closing amusement parks. Bars, breweries and distilleries will be able to remain open as long as they are able to operate outside and with food on the same ticket as alcohol.
Retail businesses and shopping centers can remain open with 25% of the building's capacity. No food courts will be permitted.
Schools will be able to remain open for in-person learning if they are already in session. If a district has not reopened for in-person learning, it must remain remote only. Offices are restricted to remote work.
Remaining open are essential services, personal care services, barbershops, hair salons, outdoor playgrounds and recreational facilities.
The county's demotion from the less-restrictive red tier is the result of two weeks of case rates that exceeded the threshold of 7 per 100,000 residents.
In recent weeks, the region had an unadjusted rate well above the purple tier guidelines, but a significant effort to increase the volume of tests had allowed for an adjustment to bring it back to the red, or substantial, tier.
State officials reported Tuesday that San Diego County had an unadjusted new daily coronavirus case rate of 10.0 per 100,000. The adjusted case rate dropped to 8.9 per 100,000. Last week's unadjusted case rate was 8.7 per 100,000.
According to the reopening plan, a county has to report data exceeding a more restrictive tier's guidelines for two consecutive weeks before being moved to that tier. A county then has to be in that tier for a minimum of three weeks before it may move to a less restrictive tier.
Even as the number of cases climbs, the testing positivity rate for the region continues to decline. From last week's data, it dropped to 2.6%, a 0.8% decline. It still remains high enough for this metric to remain in the orange tier.
The state's health equity metric, which looks at the testing positivity for areas with the least healthy conditions, increased from 5.3% to 6.5% and remained in the red tier. This metric does not move counties backward to more restrictive tiers, but is required to advance.
Of the 14,663 tests reported Friday, 4% returned positive, increasing the 14-day rolling average of positive tests to 3.8%.
Of the total number of cases in the county, 4,154 -- or 6.6% -- have required hospitalization and 947 patients -- or 1.5% of all cases -- had to be admitted to an intensive care unit.
The number of community outbreaks in the past week was reported at 44 as of Saturday.
The county launched a COVID-19 case rate map Thursday showing how cities and communities are being impacted by the novel coronavirus. The interactive map allows users to identify the case rate per 100,000 residents in cities and communities or by ZIP codes.
The map also shows where each area falls under the different state tiers and whether their case rate and testing positivity are going up or down.
The map can be found here.
India sees lowest single day rise in coronavirus cases since July
From CNN's Esha Mitra in New Delhi
India reported 30,548 new coronavirus cases for the past 24 hours on Monday, the lowest single day rise since July 15, according to a CNN tally of data from the Indian Ministry of Health.
Monday also marks the ninth consecutive day that new infections have fallen below 50,000. That's despite the celebrations and gatherings for Diwali -- the festival of lights that fell on November 14 this year.
The Health Ministry attributed the declining new cases to the "successful dissemination of Covid Appropriate Behaviour among the varied population groups".
However, as people gathered to shop ahead of Diwali, experts warned India may see an uptick in cases in the following weeks.
"I won't be surprised if cases rise across India," Dr. Arvind Kumar, founder and managing trustee of the non-profit Lung Care Foundation, told CNN on Thursday, adding that the effects of the festive gatherings may be felt a week or two after the festivities.
As of Monday, India's total caseload stands at 8,845,127, with 130,070 deaths.
28 min agoNew Zealand makes masks compulsory on domestic flights and Auckland public transportFrom CNN’s Julia Hollingsworth in Hong Kong and Angus Watson in Sydney
Mask-wearing will be compulsory for passengers aboard domestic flights in New Zealand and on public transport in the country’s most populous city, Auckland, according to Minister for Covid-19 Response Chris Hipkins.
Previously, passengers were only required to wear masks on planes and public transport when the country was at Covid alert level 2. New Zealand has four alert levels to respond to the severity of outbreaks, with level 4 being the highest.
The rule will come into effect at 11.59 p.m. local time on Wednesday.
There are currently 58 active cases of Covid-19 in New Zealand, according to the Health Ministry. Five of them are cases from people within the community, and the remaining 53 were detected at the border.
“The new move is in line with the measures already taken and fits with New Zealand’s overall focus on keeping the virus out and stamping it out when cases appear,” Hipkins said.
Research from earlier this year found thatclose to 90% of public transport users in Auckland believe masks should be compulsory when riding, according to Auckland Transport.
46 min agoBritish researchers consider mixing coronavirus vaccines in future trialsFrom CNN’s Maggie Fox
British vaccine researchers say they are considering putting together trials that would mix two different coronavirus vaccines to see if the combination works better than one vaccine formulation alone.
Vaccine makers are taking several different approaches in making immunizations to protect people against coronavirus.
What are the methods: Some vaccines -- such as those made by Pfizer and Moderna -- use pieces of genetic material called messenger RNA or mRNA to prompt the body to make synthetic pieces of the coronavirus and stimulate an immune response.
Others, such as Johnson & Johnson and AstraZeneca, use a different type of virus called an adenovirus to carry genetic fragments of the coronavirus into the body. Biotech company Novavax is testing a vaccine using nanoparticles that look like pieces of the coronavirus paired with a plant-based adjuvant to boost the immune response.
Most of the vaccines require two doses to provide full immunity. Even though Johnson & Johnson started testing its coronavirus vaccine as a single dose, it has begun a new trial that gives two doses.
Different doses: One worry is that if more than one brand of formulation of vaccine gets approved or authorized for public use that it will be difficult for people to keep track of which vaccine they got for their first shot. Careful record-keeping will be needed to ensure that people get two doses of the same vaccine, not of two different vaccines.
But British vaccine researchers say they’ll consider trials in which people get two different shots, to see how well that works.
“It could be that the combination of two different vaccines gives better protection,” Dr. Adam Finn, director of the Bristol Children's Vaccine Center at Bristol Medical School, told reporters.
Finn said he and other researchers were drawing up protocols for a potential clinical trial testing the combination of one type of vaccine for the first shot and a second type for the follow-up dose.
A combination of two vaccine types might generate wider immunity -- not just the production of antibodies, but stronger production of immune cells called T-cells, said Kate Bingham, who chairs the UK government’s Coronavirus Vaccine Taskforce.
1 hr agoUS reports more than 133,000 new Covid-19 casesFrom CNN's Alta Spells
The United States reported 133,045 new coronavirus cases on Sunday, the 13th consecutive day it has recorded more than 100,000 new infections, according to data from Johns Hopkins University.
An additional 616 coronavirus-related deaths were also reported Sunday.
The US has now recorded at least 11,036,935 Covid-19 cases, including 246,214 fatalities.
The totals include cases from all 50 states, the District of Columbia and other US territories, as well as repatriated cases.
CNN is tracking US Covid-19 cases:
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18 min agoJohnson & Johnson starts new two-dose Covid vaccine trial in BritainFrom CNN Health’s Maggie Fox
A logo sign outside of facility occupied by Janssen Pharmaceuticals, a subsidiary of Johnson & Johnson, in Somerville, New Jersey on May 31, 2015. Kristoffer Tripplaar/Sipa USA
Johnson & Johnson’s vaccine arm Janssen Pharmaceuticals is starting a new, advanced Phase 3 trial of its experimental coronavirus vaccine in Britain, which uses two doses instead of just one to see if that protects people better against infection.
Most of the coronavirus vaccines in late-stage clinical trials around the world require two doses for full protection, including leading candidates being developed by Pfizer, Moderna, AstraZeneca and Novavax. Janssen’s was the lone single-dose vaccine in Phase 3 trials in the US and Britain.
“They realized now that two doses give you slightly better immunity,” Kate Bingham, a biotechnology expert who is head of the UK Vaccine Taskforce, told reporters in a briefing.
Where will the trial be rolled out: Up to 30,000 people will be enrolled in the new global trial, with participants in Belgium, Colombia, France, Germany, the Philippines, South Africa, Spain, the United Kingdom and the United States, the company said in a statement.
“In order to evaluate the efficacy of Janssen’s Covid-19 vaccine candidate, clinical trial sites in countries and areas with high incidence of Covid-19 and the ability to achieve a rapid initiation were selected.”
Two doses: Volunteers will get two shots, 57 days apart, or placebos. The first volunteer was scheduled to be vaccinated in Britain Monday.
“While a potentially effective single-dose preventive Covid-19 vaccine with a good safety profile would have significant benefits, particularly in a pandemic setting, Janssen’s Covid-19 vaccine program has been designed to be extremely thorough and driven by science. As such, we are investigating multiple doses and dosing regimens to evaluate their long-term efficacy,” the company said.
Janssen’s Phase 3 trial paused for two weeks in the US over safety concerns but resumed in October.
2 hr 34 min agoOregon reports 868 new cases as 2-week "social freeze" is set to begin WednesdayFrom CNN’s Konstantin Toropin
Gov. Kate Brown speaks in Portland, Oregon, on November 10. Cathy Cheney/Pool/AP
Oregon reported 868 new cases of coronavirus Sunday as the state prepares for a two-week "social freeze" starting this Wednesday.
The new cases reported by the Oregon Health Authority come after the state saw more than 1,000 new daily cases the previous three days.
On Sunday, Oregon Gov. Kate Brown took to Twitter to praise Washington State Gov. Jay Inslee for announcing new restrictions in the neighboring state.
"COVID-19 does not stop at the I-5 bridge," Brown tweeted. "Thanks to Governor Inslee for taking bold action today. Now we need Congress to step up to provide relief. If we all work together, we can save thousands of lives."
Oregon has reported a total of 56,880 cases since the pandemic began.
Tightening restrictions: Brown announced the statewide "social freeze" on Saturday amid surging cases. The measures will limit social gatherings to a maximum of six people and two households, ban in-person dining in restaurants and bars, and limit faith-based events to a maximum of 25 people indoors and 50 people outdoors.
Retail locations and grocery stores will have to operate at 75% capacity, while gyms and recreation facilities will be closed. However, the new measures do not apply to businesses like barber shops and salons, or childcare and K-12 schools.
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3 hr 13 min agoSouth Australia links growing Covid outbreak to hotel quarantineFrom CNN's Angus Watson in Sydney
A Covid-19 cluster in the Australian state of South Australia has grown to 17 cases, all believed to be linked to a leak from the state’s hotel quarantine system, according to health authorities.
This the first local outbreak in South Australia since April, when the state introduced a hard border policy. Currently 600 passengers are permitted to arrive on international flights in state capital Adelaide each week, but they must undergo a 14-day quarantine in a designated hotel.
On Sunday, Chief Health Officer Nicola Spurrier said that the "medi-hotel" where one infected person worked is where "we're considering the source to be."
Multiple schools and a fast food restaurant in Adelaide have been closed, and contact tracing is underway.
"It is a very, very dangerous situation we’re in, in South Australia at the moment,” the state's Premier Steven Marshall said. “It's really going to require the cooperation of every single citizen for us to get on top of it."
Federal Health Minister Greg Hunt said Monday that South Australia should not reinstate a hard border as a reaction to the outbreak.
"Having these strong testing, tracing and isolation systems are absolutely critical and South Australia, on all the evidence, does have exactly that," he said.
The states of Western Australia, Tasmania and the Northern Territory now require arrivals from South Australia to undergo mandatory 14-day self-quarantine.
3 hr 57 min agoTrump coronavirus adviser urges Michigan to "rise up" against new Covid-19 measuresFrom CNN's Paul LeBlanc and Jeremy Diamond
White House coronavirus adviser Dr. Scott Atlas speaks on Covid-19 testing in the Rose Garden of the White House in Washington, DC, on September 28. Mandel Ngan/AFP/Getty Images
White House coronavirus task force member Dr. Scott Atlas criticized Michigan's new Covid-19 restrictions in a tweet shortly after they were announced Sunday evening, urging people to "rise up" against the new public health measures.
"The only way this stops is if people rise up," Atlas said. "You get what you accept. #FreedomMatters #StepUp"
His message -- which runs counter to the consensus of public health officials -- is likely to fuel new tension between the White House and Michigan Democratic Gov. Gretchen Whitmer, whom federal and state officials announced last month was the target of an alleged domestic terrorism kidnapping plot.
Responding to Atlas' tweet Sunday evening, Whitmer told CNN's Wolf Blitzer, "We know that the White House likes to single us out here in Michigan, me out in particular. I'm not going to be bullied into not following reputable scientists and medical professionals."
Instead, Whitmer said, she consults "people that actually have studied and are well respected worldwide on these issues, not the -- not the individual that is doing the President's bidding on this one."
Whitmer announced in a news conference earlier Sunday that Michigan will begin a "three-week pause targeting indoor social gatherings and other group activities" to mitigate the spread of Covid-19.
Read more:
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5 hr 29 min agoThousands of cars form lines to collect food in TexasFrom CNN's Melissa Alonso and Susannah Cullinane
Thousands of people lined up for groceries at a food bank distribution event in Dallas, Texas, this weekend, with organizers saying the Covid-19 pandemic has increased need in the city.
North Texas Food Bank (NTFB) distributed more than 600,000 pounds of food for about 25,000 people on Saturday, according to spokeswoman Anna Kuruan. There were 7,280 turkeys distributed to families, Kuruan told CNN.
Photos provided by NTFB show thousands of cars lined up for NTFB's Drive-Thru Mobile Pantry at Fair Park. Kuruan said the need for food "has certainly increased" with the pandemic, with Texas last week becoming the first US state to report 1 million cases of coronavirus.
Read more:
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3 hr 31 min agoBritish prime minister is self-isolating after Covid-19 exposureFrom CNN's Radina Gigova and Max Foster
British Prime Minister Boris Johnson leaves 10 Downing Street on November 10 in London, England. Leon Neal/Getty Images
British Prime Minister Boris Johnson is self-isolating after coming into contact with someone who tested positive for Covid-19, a Downing Street spokesperson said Sunday.
"The prime minister has today been notified by NHS Test and Trace that he is required to self-isolate as a contact of someone who has tested positive for Covid-19," the spokesperson said.
"The prime minister will follow the rules and is self-isolating," the spokesperson added. "He will carry on working from Downing Street, including on leading the government’s response to the coronavirus pandemic."
"The PM is well and does not have any symptoms of Covid-19," the spokesperson said.
Johnson met with a small group of MPs in No. 10 on Thursday morning, including Lee Anderson, the MP for Ashfield, Downing Street said. Anderson subsequently developed Covid-19 symptoms and has now tested positive.
3 hr 32 min agoStates enact more Covid-19 rules as the US hits 11 million casesFrom CNN's Holly Yan, Madeline Holcombe and Dakin Andone
This aerial view shows cars lined up at the Dodger Stadium parking lot for Covid-19 testing with the Los Angeles skyline in the distance, on November 14. Robyn Beck/AFP/Getty Images
The United States surpassed 11 million coronavirus cases on Sunday, according to data from Johns Hopkins University, as states across the country moved to enact restrictions aimed at slowing the spread of the virus.
The latest milestone comes just six days after the US recorded 10 million cases, per Johns Hopkins data. It was the fastest the US has added one million new cases since the pandemic began.
At least 45 states have reported more new infections this past week compared to the previous week, according to Johns Hopkins University.
"We have this firestorm of coronavirus all across the country," emergency medicine physician Dr. Leana Wen said. "It's not one or two hotspots, the entire country is a hotspot of coronavirus infection."
Even Wyoming is getting hit hard. On Saturday, the state set new records for Covid-19 hospitalizations and deaths, with 202 hospitalizations and 17 new deaths reported in one day.
Nationwide, more than 246,000 people have died -- including 1,266 new deaths reported on Saturday alone.
And while some officials toughen their restrictions, some say changing behavior is more important than shutting down.
Read the full story:
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3 hr 32 min agoWashington state enacts new restrictions, months after it was first in the US to confront Covid-19From CNN's Dakin Andone
A sign for curbside pickup is shown outside the Cascadia Grill, in downtown Olympia, Washington, on November 15. Ted S. Warren/AP
Washington state on Sunday announced new coronavirus restrictions, months after suffering the country's first major outbreaks.
"We are today in a more dangerous position than we were in March, when our first stay-at-home order was issued," Gov. Jay Inslee said in a news conference. Most of the measures go into effect Monday at midnight and extend through December 14.
"The time has come to reinstate some of the restrictions on activities statewide to preserve our well-being and to save lives," he said.
What the restrictions mean: Indoor social gatherings with people from outside the home are prohibited, unless participants quarantine for 14 days prior, or quarantine for seven days before the gathering and receive a negative Covid-19 test result no more than 48 hours prior. Outdoor gatherings will be limited to five people.
Restaurants and bars will be limited to outdoors with capacity limits and to-go service, Inslee said. In-store retail stores, including grocery stores, are limited to 25% capacity.
Religious services will also be limited to 25% of indoor capacity or 200 people, whichever is less, Inslee said. Performances by choirs, bands and ensembles are also prohibited. The order allows for solo performances, but Inslee said it's "too risky" for indoor choirs.
Additionally, indoor service at gyms will be prohibited, along with bowling alleys, museums and movie theaters, among others businesses.
The new restrictions will not impact childcare and K-12 schools, Inslee said. School districts that are currently holding in-person learning do not need to close, unless local officials make that determination.
Rising cases: The new restrictions are a reflection of the drastic rise in cases seen not only in Washington state but across the country. And they further underscore the threat of the ongoing fall surge many states are struggling to control.
As of Sunday night, the state had more than 130,000 cases, according to data from Johns Hopkins University. More than 2,500 people have died.