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The death toll in an almost year-long hepatitis A outbreak in the San Diego region has reached 20, county health officials reported Tuesday.

Two cases of hepatitis A in Colorado have been linked to an outbreak of the disease in San Diego County, it was reported Monday.

Cities and towns across the West are warning residents that high levels of smoke from forest fires threaten their health, with no sign of abating. That means indoor recess and no vacuuming.

The county Board of Supervisors voted Tuesday to extend an emergency declaration over the hepatitis A outbreak in the San Diego region.

An additional hepatitis A death in the San Diego region was confirmed over the past week, bringing the toll this year to 19, the county Health and Human Services Agency reported Tuesday.

The test program could lead to drone-delivered vaccines for children in hard-to-reach places around the globe.

California Gov. Jerry Brown on Friday declared a state of emergency to combat a hepatitis A outbreak that has claimed 18 lives in San Diego.

Municipal, state and federal officials announced various steps Friday to try to corral a deadly outbreak of hepatitis A in San Diego and other areas.

County health officials Tuesday reported the 18th death in the San Diego region's hepatitis A outbreak, among 490 total cases.

Outgoing San Diego County Supervisor Ron Roberts has been in elected office since 1987. He spoke with KPBS on his proudest accomplishments, the hepatitis A outbreak and the term limits that forced him out of office.