Health order enforcement

Health order enforcement

(Nov. 19) Indoor operations at restaurants, gyms, places of worship and movie theaters are currently not allowed as part of efforts to curb the spread of COVID-19.

That is why the County of San Diego has stepped up its enforcement efforts to make sure businesses and other entities are following the local health order.

To date, the County has issued more than 70 cease and desist and closure orders to local businesses and organizations for failure to comply. More than 40 of those were served this week.

When a business or entity is reported, the County investigates and determines whether to issue a cease and desist order. If one is issued, and the entity continues to violate the local health order, a closure notice is issued. A list of cease and desist and closure orders is available at the County's coronavirus site:

“We are ramping up and enhancing compliance as well as testing given the surge in cases,” said Wilma Wooten, M.D., M.P.H., County public health officer. “We have not seen numbers like these in the course of the pandemic.”

Additionally, all local law enforcement agencies have been asked to help enforce the local health order.

The San Diego County Sheriff's Department will be sending enforcement teams throughout the region to help ensure the public health guidance is followed. The teams will first encourage compliance but will issue citations if necessary.

Curfew ordered for counties in Purple Tier
The state has issued a limited curfew for all counties in the Purple Tier of its COVID-19 risk assessment system, which includes San Diego County.

Starting Nov. 21, non-essential work and gatherings must cease from 10 p.m. to 5 a.m. The curfew will last for 30 days.

State Metrics:

  • Under the state's system for determining COVID-19 risk, San Diego County is in the Purple Tier, or Tier 1. The state uses the more restrictive measure – case rate or testing positivity – to assign tiers.
  • The County's state-calculated, adjusted case rate is currently 10.7 cases per 100,000 residents, placing it in that metric's Purple Tier.
  • The testing positivity percentage is 4.3%, placing it in that metric's Tier 3 or the Orange Tier.
  • The County's health equity metric, which looks at the testing positivity for areas with the lowest healthy conditions, is 7.2% and it's in the Red Tier or Tier 2. This metric does not move counties to more restrictive tiers but is required to advance to less restrictive tiers.
  • The California Department of Public Health announced that tier assignments, typically given each Tuesday, may now occur any day of the week and may occur more than once a week.

Community Setting Outbreaks:

  • Five new community outbreaks were confirmed on Nov. 18: two in restaurant/bar settings, two in business settings and one in a retailer.
  • In the past seven days (Nov. 12 through Nov. 18), 36 community outbreaks were confirmed.
  • The number of community outbreaks remains above the trigger of seven or more in seven days.
  • 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.


  • 12,811 tests were reported to the County on Nov. 18, and the percentage of new laboratory-confirmed cases was 7%.
  • The 14-day rolling average percentage of positive cases is 4.9%. Target is less than 8.0%.
  • The 7-day, daily average of tests is 14,920.
  • People with and without symptoms who are at higher risk for COVID-19 should be tested. Healthcare and essential workers should also get a test, as well as people who had close contact to a positive case or live in communities that are being highly impacted.


  • 899 new cases were confirmed among San Diego County residents on Nov. 18. The region's total is now 68,140.
  • 4,303 or 6.3% of all cases have required hospitalization.
  • 975 or 1.4% of all cases and 22.7% of hospitalized cases had to be admitted to an intensive care unit.


  • Seven new deaths were reported in the County on Nov. 18. The region's total is now 952.
  • Six men and one woman died between Nov. 15 and Nov. 17. Their ages ranged from early 30s to mid-90s.
  • All had underlying medical conditions.


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