SAN DIEGO–The San Diego region’s adjusted case rate rose above 7.0 cases per 100,000, landing the region for one week in the state’s most restrictive COVID-19 level.

While the adjusted case rate increased from 6.5 to 7.4 in the past week, the County remains for now in the Red Tier, or Tier 2, of activity restrictions. Should the rate continue to be above 7.0 cases per 100,000 residents for a second week in a row, restaurants, gyms, churches, theaters and other locations will need to end indoor operations under state guidance.

“The region now is in greater danger of moving into the most restrictive tier, which would mean that indoor activities would cease,” said Wilma Wooten, M.D., M.P.H., County public health officer.

The state’s health equity metric, which looks at the testing positivity for areas with the lowest healthy conditions, increased slightly from 5.1% to 5.3% which is in the Red Tier. This metric does not on its own allow counties to advance a tier or move to one more restrictive level.

The testing positivity percentage dropped from 3.5% to 3.2%, keeping this metric in the Orange Tier or Tier 3.

“San Diegans need to be more dedicated to taking preventing measures to get the region out of the Purple Tier should the County fall into it,” Wooten said. “We know these measures work to prevent COVID-19 and to slow the pandemic.”

The California Department of Public Health assesses counties on a weekly basis. The next report is scheduled for Tuesday, Nov. 10.