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Press Release: Preventing Severe Illness for Those Infected with COVID-19 Remains a Priority with 1 in 10 Los Angeles County Residents Hospitalized with COVID-19 Treated in Intensive Care Units
| From | Los Angeles County Public Health <[email protected]> |
| Subject | Press Release: Preventing Severe Illness for Those Infected with COVID-19 Remains a Priority with 1 in 10 Los Angeles County Residents Hospitalized with COVID-19 Treated in Intensive Care Units |
| Date | April 13, 2023 11:33 PM |
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news release DPH
**For Immediate Release:**
April 13, 2023
*Preventing Severe Illness for Those Infected with COVID-19 Remains a Priority with 1 in 10 Los Angeles County Residents Hospitalized with COVID-19 Treated in Intensive Care Units*
"Boosters, Treatment Reduce Risks of Hospitalization, Deaths"
Even though fewer people are getting severely sick from COVID-19, adults over 65 years old continue to be hospitalized at significantly higher rates than younger people and, of everyone hospitalized for COVID-19 in Los Angeles County, more than 1 in 10 people required highly specialized medical attention in an Intensive Care Unit (ICU).
While many people have taken precautions that have reduced the overall impact of COVID-19 in Los Angeles County, including being up to date on vaccines, there are still a sizable number of older people and those with underlying health conditions experiencing severe illness if infected. ???
On April 11, of the 338 people hospitalized with COVID-19 across Los Angeles County, 38 individuals required care in the Intensive Care Unit (ICU), including 25 patients on ventilators. ?
Older residents are hospitalized and admitted to the ICU with COVID-19 at much higher rates than their younger counterparts.? Over the most recent 12 weeks, adults 80 years of age and older were 17 times more likely to be hospitalized with COVID-19 and 24 times more likely to be admitted to the ICU with COVID-19 compared to adults 30-49 years of age. Residents ages 65-79 years old were 11 times more likely to be hospitalized with COVID-19 and more than six times more likely to be admitted to the ICU with COVID-19, when compared to residents ages 30-49.
COVID-19 also remains the leading infectious cause of death in Los Angeles County with over eight deaths reported on average each day last week. In 2022, COVID was the third leading cause of death in the county, behind only coronary heart disease and Alzheimer?s Disease.
Local data confirm that the updated booster provides needed protection against new strains, helping to reduce severe illness at a greater rate than the primary series and monovalent booster alone. People who received the updated bivalent booster are hospitalized at a rate that is five times lower and die at a rate that is six times lower than people who are unvaccinated.__
Vaccination locations and appointments can be found at VaccinateLACounty.com. For residents who have difficulties leaving their home, Public Health offers free in-home COVID-19 vaccine and booster appointments. Appointments may be booked at ph.lacounty.gov/vaxathome or by calling 1-833-540-0473.
For people who get sick with COVID-19, medicines are available to reduce the severity of the illness. COVID-19 medications are available with a prescription. Individuals who don?t have access to a provider or can?t reach their own provider in a timely manner can get medication if eligible by calling Public Health?s telehealth services at 1-833-540-0473. That phone line is open from 8 a.m. to 8:30 p.m. every day.
Variant data continue to keep Public Health officials optimistic about the overall COVID-19 situation in Los Angeles County. Looking at the most recent set of sequenced specimens, XBB.1.5 remains the dominant strain locally, as it has been since early February, currently accounting for 88% of tested specimens. The currently circulating COVID-19 strains in Los Angeles County are all descendants of Omicron and we are not seeing new variants or a rapid rise of any new strains.
Meanwhile, sewer shed data also confirms that COVID-19 is circulating at manageable levels in the county. Current wastewater concentrations, as of April 1, are substantially lower than what we saw during the peak of the most recent winter and they remain stable at this lower level. The average concentration level is 14% of the winter peak, indicating that, although transmission is still occurring, there is low concern for rapid spread of the virus.
?I would like to offer my condolences to those who have lost a loved one to COVID-19. May you find comfort and healing,? said Dr. Barbara Ferrer, Ph.D., M.P.H., M.Ed., Director of the Los Angeles County Department of Public Health. ?While I remain optimistic, given the reality of a mutating virus, there is the need to continue to monitor COVID-19 transmission, hospitalizations, and new strains so that we are prepared to meet any future challenges. This information helps us understand both individual and community risk and pass along information on how to remain protected from severe COVID-19 illness. For those most vulnerable, reducing risk remains important, even during times of low transmission.? With an effective bi-valent booster and ample access to therapeutics, we ought to be able to see even lower numbers of hospitalizations and deaths.?
The weekly reported case count for COVID-19 increased 11% from the week prior from 2,731 last week to 3,023 this week, although the overall trend remains stable. Reported weekly deaths increased slightly from 53 last week to 59 this week. The 7-day average number of COVID hospitalizations is 348 this week, a decrease from 378 last week.
Los Angeles County remains in the CDC?s Low COVID-19 Community Level for the 13th consecutive week. This includes a weekly reported case rate of 30 new cases per 100,000 people. The 7-day total for new COVID-19 hospital admissions per 100,000 people is currently 3.3. And the 7-day average of the proportion of staffed inpatient beds occupied by COVID-19 patients is now 2.0%.
As of Tuesday, April 11, there have been a total of 36,106 deaths in Los Angeles County.
Public Health is now reporting COVID data weekly. The following table shows the weekly reported case counts, average number of daily hospitalizations, and weekly reported death counts in Los Angeles County over the past four weeks.
*Metric*
*Date of Weekly Report*
*4/11/2023*
*4/4/2023*
*3/28/2023*
*3/21/2023*
Weekly cases reported1
3,023
2,731
3,505
4,307
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value2
14%
14%
21%
21%
7-day average number of COVID-positive hospitalizations3
348
378
401
454
7-day average of the percent of Emergency Department (ED) encounters classified as coronavirus-related4
3.2%
3.6%
4.0%
4.0%
Weekly deaths reported1
59
53
58
86
1) Weekly case and death counts represent the number of cases and deaths reported for the week ending each Tuesday. The date a case/death is reported by DPH is not the same as the date of testing or death.
2) Wastewater concentrations reflect the week ending each Saturday, with a one week lag. ?
3) Hospitalization data represents average number of COVID-positive hospitalizations for the week ending each Tuesday. Data for past weeks is subject to change in future reports.
4) Emergency department data represents average number of coronavirus classified encounters for the week ending each Sunday. Data for past weeks is subject to change in future reports.?
A wide range of data and dashboards on COVID-19 from the Los Angeles County Department of Public Health are available on the Public Health website at?[link removed] [ [link removed] ]?including:
* COVID-19 Locations & Demographics (data by demographic characteristics and geography, active outbreaks, and citations) [ [link removed] ]
* COVID-19 Response Plan [ [link removed] ]
* COVID-19 Vaccinations [ [link removed] ]
* Skilled Nursing Facility Metrics [ [link removed] ]
Always check with trusted sources for the latest accurate information about novel coronavirus:
* Los Angeles County Department of Public Health: [link removed] [ [link removed] ]
* California Department of Public Health: [link removed] [ [link removed] ]
* Centers for Disease Control and Prevention: [link removed] [ [link removed] ]
* CDC Spanishhttps://espanol.cdc.gov/enes/coronavirus/2019-ncov/index.html [ [link removed] ]
* World Health Organization?[link removed] [ [link removed] ]
* LA County residents can also call 2-1-1
?
For more information: Cases through 12:00pm 4/10/2023
? ?
*?*
*Total Cases*
?
*Laboratory Confirmed Cases *
3,730,372
?
-- Los Angeles County (excl. LB and Pas)
3,526,814
?
-- Long Beach
163,545
?
-- Pasadena
40,013
?
*Deaths*
36,106
?
-- Los Angeles County (excl. LB and Pas)
34,259
?
-- Long Beach
1,400
?
-- Pasadena
447
?
*Age Group (Los Angeles County Cases Only-excl LB and Pas)*
?
?
- 0 to 4
111,375
?
- 5 to 11
282,495
?
- 12 to 17
277,348
?
- 18 to 29
756,907
?
- 30 to 49
1,131,078
?
- 50 to 64
611,722
?
- 65 to 79
261,770
?
-? over 80
91,642
?
-? Under Investigation
2,477
?
*Gender (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Female
1,819,512
?
-? Male
1,616,779
?
-? Other
1,789
?
-? Under Investigation
88,734
?
*Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
6,698
?
-? Asian
262,323
?
-? Black
185,064
?
-? Hispanic/Latino
1,509,496
?
-? Native Hawaiian/Pacific Islander
17,655
?
-? White
489,302
?
-? Other
403,970
?
-? Under Investigation
652,306
?
*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Hospitalized (Ever)
175,832
?
*Deaths Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
80
?
-? Asian
4,456
?
-? Black
3,212
?
-? Hispanic/Latino
16,795
?
-? Native Hawaiian/Pacific Islander
118
?
-? White
9,093
?
-? Other
413
?
-? Under Investigation
92
?
*CITY / COMMUNITY***
*Cases*
*Case Rate*
City of Agoura Hills
6324
30283
City of Alhambra
25357
29239
City of Arcadia
13599
23546
City of Artesia
5982
35618
City of Avalon
288
7444
City of Azusa
17475
34922
City of Baldwin Park
29573
38522
City of Bell
16969
46705
City of Bell Gardens
17073
39639
City of Bellflower
30685
39474
City of Beverly Hills
11529
33398
City of Bradbury
71
6642
City of Burbank
32704
30513
City of Calabasas
5801
23850
City of Carson
34812
37095
City of Cerritos
13274
26512
City of Claremont
10349
28366
City of Commerce*
5853
44785
City of Compton
40095
40134
City of Covina
20188
41173
City of Cudahy
12185
50047
City of Culver City
11870
29775
City of Diamond Bar
13587
23623
City of Downey
46618
40799
City of Duarte
7468
33921
City of El Monte
42606
36332
City of El Segundo
4055
24157
City of Gardena
21782
35528
City of Glendale
60085
29098
City of Glendora
14978
28387
City of Hawaiian Gardens
4992
34015
City of Hawthorne
29502
33228
City of Hermosa Beach
4707
23930
City of Hidden Hills
380
20106
City of Huntington Park
26248
44126
City of Industry
1005
229977
City of Inglewood
38611
33994
City of Irwindale
882
60452
City of La Canada Flintridge
4523
21858
City of La Habra Heights
213
3905
City of La Mirada
14170
28569
City of La Puente
15954
39202
City of La Verne
9212
27679
City of Lakewood
26926
33506
City of Lancaster*
63888
39542
City of Lawndale
10563
31424
City of Lomita
6074
29302
City of Lynwood*
31142
43225
City of Malibu
2869
22136
City of Manhattan Beach
7414
20595
City of Maywood
12766
45513
City of Monrovia
11819
30461
City of Montebello
25374
39416
City of Monterey Park
17423
27983
City of Norwalk
42830
39797
City of Palmdale
66696
41956
City of Palos Verdes Estates
2253
16662
City of Paramount
22662
40451
City of Pico Rivera
28017
43583
City of Pomona
65412
41949
City of Rancho Palos Verdes
7713
18043
City of Redondo Beach
15518
22589
City of Rolling Hills
294
15155
City of Rolling Hills Estates
1526
18809
City of Rosemead
15175
27416
City of San Dimas*
11091
32133
City of San Fernando
12747
51792
City of San Gabriel
11391
27814
City of San Marino
2394
18031
City of Santa Clarita
73247
33230
City of Santa Fe Springs
7864
42823
City of Santa Monica
26307
28457
City of Sierra Madre
2400
21840
City of Signal Hill
4087
34644
City of South El Monte
8399
40215
City of South Gate
47076
47961
City of South Pasadena
6308
24212
City of Temple City
10715
29392
City of Torrance
34185
22902
City of Vernon
357
170813
City of Walnut
7529
24659
City of West Covina
39434
36434
City of West Hollywood
11249
30443
City of Westlake Village
446
5335
City of Whittier
31240
35731
Los Angeles
1523846
37676
Los Angeles - Adams-Normandie
3204
39064
Los Angeles - Alsace
4500
36159
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
845
33773
Los Angeles - Arleta
16890
49142
Los Angeles - Atwater Village
5072
34583
Los Angeles - Baldwin Hills
10202
32778
Los Angeles - Bel Air
2443
28983
Los Angeles - Beverly Crest
3333
26611
Los Angeles - Beverlywood
4213
31982
Los Angeles - Boyle Heights*
40402
46501
Los Angeles - Brentwood
8390
27104
Los Angeles - Brookside
156
26850
Los Angeles - Cadillac-Corning
2291
32172
Los Angeles - Canoga Park
25265
38697
Los Angeles - Carthay
4391
30572
Los Angeles - Central
17022
43655
Los Angeles - Century City
3741
29245
Los Angeles - Century Palms/Cove
16267
48176
Los Angeles - Chatsworth
12904
34818
Los Angeles - Cheviot Hills
2552
27827
Los Angeles - Chinatown
2912
36305
Los Angeles - Cloverdale/Cochran
5316
36529
Los Angeles - Country Club Park
4903
32357
Los Angeles - Crenshaw District
5321
38477
Los Angeles - Crestview
3944
34694
Los Angeles - Del Rey
8395
28043
Los Angeles - Downtown*
16183
58832
Los Angeles - Eagle Rock
13782
34813
Los Angeles - East Hollywood
9514
32485
Los Angeles - Echo Park
4497
31545
Los Angeles - El Sereno
16911
40449
Los Angeles - Elysian Park
1839
32195
Los Angeles - Elysian Valley
3567
35070
Los Angeles - Encino
15210
33671
Los Angeles - Exposition
1276
38364
Los Angeles - Exposition Park
18240
40608
Los Angeles - Faircrest Heights
1258
34944
Los Angeles - Figueroa Park Square
3790
43458
Los Angeles - Florence-Firestone
22848
48157
Los Angeles - Glassell Park
10992
34780
Los Angeles - Gramercy Place
4152
38573
Los Angeles - Granada Hills
21507
36959
Los Angeles - Green Meadows
10050
46733
Los Angeles - Hancock Park
4738
27807
Los Angeles - Harbor City
9393
32312
Los Angeles - Harbor Gateway
15673
35947
Los Angeles - Harbor Pines
646
26816
Los Angeles - Harvard Heights
6149
34095
Los Angeles - Harvard Park
17997
47442
Los Angeles - Highland Park
17221
35587
Los Angeles - Historic Filipinotown
5502
39668
Los Angeles - Hollywood
21654
31726
Los Angeles - Hollywood Hills
7666
26045
Los Angeles - Hyde Park
11939
41831
Los Angeles - Jefferson Park
3150
39019
Los Angeles - Koreatown
16198
31335
Los Angeles - Lafayette Square
1595
34986
Los Angeles - Lake Balboa
16265
38537
Los Angeles - Lakeview Terrace
6134
46707
Los Angeles - Leimert Park
5770
37873
Los Angeles - Lincoln Heights
12804
39280
Los Angeles - Little Armenia
3055
38069
Los Angeles - Little Bangladesh
8659
30551
Los Angeles - Little Tokyo
1475
47079
Los Angeles - Longwood
1778
41310
Los Angeles - Los Feliz
6406
29646
Los Angeles - Manchester Square
3254
38121
Los Angeles - Mandeville Canyon
898
28745
Los Angeles - Mar Vista
10927
25728
Los Angeles - Marina Peninsula
961
22041
Los Angeles - Melrose
26230
33760
Los Angeles - Mid-city
4483
29827
Los Angeles - Miracle Mile
4927
27395
Los Angeles - Mission Hills
11907
49357
Los Angeles - Mt. Washington
8232
34094
Los Angeles - North Hills
25268
41036
Los Angeles - North Hollywood
59039
38990
Los Angeles - Northridge
25574
36641
Los Angeles - Pacific Palisades
5032
23634
Los Angeles - Pacoima
38837
50451
Los Angeles - Palisades Highlands
922
23973
Los Angeles - Palms
12036
27431
Los Angeles - Panorama City
33511
44533
Los Angeles - Park La Brea
3251
23940
Los Angeles - Pico-Union
16372
39128
Los Angeles - Playa Del Rey
602
18836
Los Angeles - Playa Vista
3416
31205
Los Angeles - Porter Ranch
10535
29603
Los Angeles - Rancho Park
2244
34207
Los Angeles - Regent Square
874
31439
Los Angeles - Reseda
32086
41878
Los Angeles - Reseda Ranch
1791
38632
Los Angeles - Reynier Village
1180
27909
Los Angeles - San Pedro*
26159
33521
Los Angeles - Shadow Hills
1321
29739
Los Angeles - Sherman Oaks
27676
31719
Los Angeles - Silverlake
13262
30084
Los Angeles - South Carthay
3270
30864
Los Angeles - South Park
16880
44467
Los Angeles - St Elmo Village
1876
40925
Los Angeles - Studio City
7036
31355
Los Angeles - Sun Valley
23207
44218
Los Angeles - Sunland
6927
33943
Los Angeles - Sycamore Square
211
32612
Los Angeles - Sylmar*
42156
51161
Los Angeles - Tarzana
10551
34172
Los Angeles - Temple-Beaudry
13518
34238
Los Angeles - Thai Town
2806
28606
Los Angeles - Toluca Lake
2561
29423
Los Angeles - Toluca Terrace
529
40505
Los Angeles - Toluca Woods
473
25457
Los Angeles - Tujunga
8974
32269
Los Angeles - University Hills
931
27151
Los Angeles - University Park
11626
42344
Los Angeles - Valley Glen
11208
37340
Los Angeles - Valley Village
8543
34559
Los Angeles - Van Nuys*
37675
40426
Los Angeles - Venice
9155
27018
Los Angeles - Vermont Knolls
7493
43564
Los Angeles - Vermont Square
3754
49027
Los Angeles - Vermont Vista
18708
45423
Los Angeles - Vernon Central
24714
47529
Los Angeles - Victoria Park
2825
33635
Los Angeles - View Heights
1112
30103
Los Angeles - Watts
19627
45993
Los Angeles - Wellington Square
1843
37497
Los Angeles - West Adams
10957
39656
Los Angeles - West Hills
12912
31846
Los Angeles - West Los Angeles
11602
30827
Los Angeles - West Vernon
24754
46145
Los Angeles - Westchester
13882
26902
Los Angeles - Westlake
20871
35163
Los Angeles - Westwood
16658
30786
Los Angeles - Wholesale District*
22189
61416
Los Angeles - Wilmington
23647
41863
Los Angeles - Wilshire Center
17158
34200
Los Angeles - Winnetka
19934
38493
Los Angeles - Woodland Hills
20538
30179
Unincorporated - Acton
2010
25216
Unincorporated - Agua Dulce
990
23810
Unincorporated - Altadena
11658
26726
Unincorporated - Anaverde
420
27851
Unincorporated - Angeles National Forest
92
7390
Unincorporated - Arcadia
2235
28004
Unincorporated - Athens-Westmont
17541
41329
Unincorporated - Athens Village
2823
57648
Unincorporated - Avocado Heights
2730
40295
Unincorporated - Azusa
6365
39974
Unincorporated - Bassett
6199
41837
Unincorporated - Bouquet Canyon
205
19105
Unincorporated - Bradbury
134
124074
Unincorporated - Canyon Country
3755
48590
Unincorporated - Castaic*
9599
35302
Unincorporated - Cerritos
192
32709
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
158
22507
Unincorporated - Covina
6276
37315
Unincorporated - Covina (Charter Oak)
5059
38489
Unincorporated - Del Aire
1218
27726
Unincorporated - Del Rey
144
45283
Unincorporated - Del Sur
703
29110
Unincorporated - Desert View Highlands
957
38387
Unincorporated - Duarte
2004
45257
Unincorporated - East Covina
90
27356
Unincorporated - East La Mirada
1643
31047
Unincorporated - East Lancaster
43
37719
Unincorporated - East Los Angeles
58586
46768
Unincorporated - East Pasadena
432
6747
Unincorporated - East Rancho Dominguez
6324
41312
Unincorporated - East Whittier
1433
27007
Unincorporated - El Camino Village
2759
31384
Unincorporated - El Monte
0
0
Unincorporated - Elizabeth Lake
287
17279
Unincorporated - Florence-Firestone
30383
46956
Unincorporated - Franklin Canyon
1
8333
Unincorporated - Glendora
199
30152
Unincorporated - Hacienda Heights
16565
29619
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
762
30310
Unincorporated - Hi Vista
173
15756
Unincorporated - Kagel/Lopez Canyons
320
22663
Unincorporated - La Crescenta-Montrose
4471
22580
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
913
44000
Unincorporated - La Verne*
664
32549
Unincorporated - Ladera Heights
2065
29204
Unincorporated - Lake Hughes
203
30389
Unincorporated - Lake Los Angeles
4078
31384
Unincorporated - Lake Manor
460
27998
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7647
33923
Unincorporated - Leona Valley
312
17818
Unincorporated - Littlerock
1414
35165
Unincorporated - Littlerock/Juniper Hills
362
27911
Unincorporated - Littlerock/Pearblossom
1324
37097
Unincorporated - Llano
108
12315
Unincorporated - Marina del Rey
2715
28849
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1126
29013
Unincorporated - Newhall
105
47727
Unincorporated - North Lancaster
513
42821
Unincorporated - North Whittier
3151
37691
Unincorporated - Northeast San Gabriel
5313
22104
Unincorporated - Padua Hills
38
17674
Unincorporated - Palmdale
268
31829
Unincorporated - Palos Verdes Peninsula
126
20290
Unincorporated - Pearblossom/Llano
434
22188
Unincorporated - Pellissier Village
376
60743
Unincorporated - Placerita Canyon
24
5217
Unincorporated - Pomona
124
6398
Unincorporated - Quartz Hill
3911
30304
Unincorporated - Rancho Dominguez
1208
45396
Unincorporated - Roosevelt
280
30075
Unincorporated - Rosewood
513
39891
Unincorporated - Rosewood/East Gardena
549
46018
Unincorporated - Rosewood/West Rancho Dominguez
1345
40018
Unincorporated - Rowland Heights
12456
24413
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
44
5128
Unincorporated - San Jose Hills
7948
39306
Unincorporated - San Pasqual
90
4423
Unincorporated - Sand Canyon
63
20455
Unincorporated - Santa Catalina Island
592
221723
Unincorporated - Santa Monica Mountains*
3946
21191
Unincorporated - Saugus
343
221290
Unincorporated - Saugus/Canyon Country
130
36517
Unincorporated - South Antelope Valley
121
26593
Unincorporated - South El Monte
761
42396
Unincorporated - South San Gabriel
3186
36008
Unincorporated - South Whittier
21636
36534
Unincorporated - Southeast Antelope Valley
252
32266
Unincorporated - Stevenson Ranch
5965
28451
Unincorporated - Sun Village
2139
35437
Unincorporated - Sunrise Village
589
45448
Unincorporated - Twin Lakes/Oat Mountain
437
26357
Unincorporated - Val Verde
1220
36869
Unincorporated - Valencia
933
30371
Unincorporated - Valinda
9655
41312
Unincorporated - View Park/Windsor Hills
3618
31096
Unincorporated - Walnut Park
7450
46150
Unincorporated - West Antelope Valley
188
12442
Unincorporated - West Carson
8282
37499
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
893
93803
Unincorporated - West Puente Valley
4254
43254
Unincorporated - West Rancho Dominguez
497
36571
Unincorporated - West Whittier/Los Nietos
10798
40104
Unincorporated - Westfield/Academy Hills
252
19385
Unincorporated - Westhills
199
23719
Unincorporated - White Fence Farms
929
25224
Unincorporated - Whittier
996
26321
Unincorporated - Whittier Narrows
76
633333
Unincorporated - Willowbrook
16713
47870
Unincorporated - Wiseburn
1904
31591
?- Under Investigation
70675
?
*? --Case and death numbers include cases identified among persons detained at correctional facilities located in the city/community
?
Data are subject to change based on further investigation
?
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The Department of Public Health is committed to promoting health equity and ensuring optimal health and well -being for all 10 million residents of Los Angeles County. Through a variety of programs, community partnerships and services, Public Health oversees environmental health, disease control, and community and family health. Nationally accredited by the Public Health Accreditation Board, the Los Angeles County Department of Public Health comprises of more than 5,000 employees and has an annual budget of $1.3 billion.
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**For Immediate Release:**
April 13, 2023
*Preventing Severe Illness for Those Infected with COVID-19 Remains a Priority with 1 in 10 Los Angeles County Residents Hospitalized with COVID-19 Treated in Intensive Care Units*
"Boosters, Treatment Reduce Risks of Hospitalization, Deaths"
Even though fewer people are getting severely sick from COVID-19, adults over 65 years old continue to be hospitalized at significantly higher rates than younger people and, of everyone hospitalized for COVID-19 in Los Angeles County, more than 1 in 10 people required highly specialized medical attention in an Intensive Care Unit (ICU).
While many people have taken precautions that have reduced the overall impact of COVID-19 in Los Angeles County, including being up to date on vaccines, there are still a sizable number of older people and those with underlying health conditions experiencing severe illness if infected. ???
On April 11, of the 338 people hospitalized with COVID-19 across Los Angeles County, 38 individuals required care in the Intensive Care Unit (ICU), including 25 patients on ventilators. ?
Older residents are hospitalized and admitted to the ICU with COVID-19 at much higher rates than their younger counterparts.? Over the most recent 12 weeks, adults 80 years of age and older were 17 times more likely to be hospitalized with COVID-19 and 24 times more likely to be admitted to the ICU with COVID-19 compared to adults 30-49 years of age. Residents ages 65-79 years old were 11 times more likely to be hospitalized with COVID-19 and more than six times more likely to be admitted to the ICU with COVID-19, when compared to residents ages 30-49.
COVID-19 also remains the leading infectious cause of death in Los Angeles County with over eight deaths reported on average each day last week. In 2022, COVID was the third leading cause of death in the county, behind only coronary heart disease and Alzheimer?s Disease.
Local data confirm that the updated booster provides needed protection against new strains, helping to reduce severe illness at a greater rate than the primary series and monovalent booster alone. People who received the updated bivalent booster are hospitalized at a rate that is five times lower and die at a rate that is six times lower than people who are unvaccinated.__
Vaccination locations and appointments can be found at VaccinateLACounty.com. For residents who have difficulties leaving their home, Public Health offers free in-home COVID-19 vaccine and booster appointments. Appointments may be booked at ph.lacounty.gov/vaxathome or by calling 1-833-540-0473.
For people who get sick with COVID-19, medicines are available to reduce the severity of the illness. COVID-19 medications are available with a prescription. Individuals who don?t have access to a provider or can?t reach their own provider in a timely manner can get medication if eligible by calling Public Health?s telehealth services at 1-833-540-0473. That phone line is open from 8 a.m. to 8:30 p.m. every day.
Variant data continue to keep Public Health officials optimistic about the overall COVID-19 situation in Los Angeles County. Looking at the most recent set of sequenced specimens, XBB.1.5 remains the dominant strain locally, as it has been since early February, currently accounting for 88% of tested specimens. The currently circulating COVID-19 strains in Los Angeles County are all descendants of Omicron and we are not seeing new variants or a rapid rise of any new strains.
Meanwhile, sewer shed data also confirms that COVID-19 is circulating at manageable levels in the county. Current wastewater concentrations, as of April 1, are substantially lower than what we saw during the peak of the most recent winter and they remain stable at this lower level. The average concentration level is 14% of the winter peak, indicating that, although transmission is still occurring, there is low concern for rapid spread of the virus.
?I would like to offer my condolences to those who have lost a loved one to COVID-19. May you find comfort and healing,? said Dr. Barbara Ferrer, Ph.D., M.P.H., M.Ed., Director of the Los Angeles County Department of Public Health. ?While I remain optimistic, given the reality of a mutating virus, there is the need to continue to monitor COVID-19 transmission, hospitalizations, and new strains so that we are prepared to meet any future challenges. This information helps us understand both individual and community risk and pass along information on how to remain protected from severe COVID-19 illness. For those most vulnerable, reducing risk remains important, even during times of low transmission.? With an effective bi-valent booster and ample access to therapeutics, we ought to be able to see even lower numbers of hospitalizations and deaths.?
The weekly reported case count for COVID-19 increased 11% from the week prior from 2,731 last week to 3,023 this week, although the overall trend remains stable. Reported weekly deaths increased slightly from 53 last week to 59 this week. The 7-day average number of COVID hospitalizations is 348 this week, a decrease from 378 last week.
Los Angeles County remains in the CDC?s Low COVID-19 Community Level for the 13th consecutive week. This includes a weekly reported case rate of 30 new cases per 100,000 people. The 7-day total for new COVID-19 hospital admissions per 100,000 people is currently 3.3. And the 7-day average of the proportion of staffed inpatient beds occupied by COVID-19 patients is now 2.0%.
As of Tuesday, April 11, there have been a total of 36,106 deaths in Los Angeles County.
Public Health is now reporting COVID data weekly. The following table shows the weekly reported case counts, average number of daily hospitalizations, and weekly reported death counts in Los Angeles County over the past four weeks.
*Metric*
*Date of Weekly Report*
*4/11/2023*
*4/4/2023*
*3/28/2023*
*3/21/2023*
Weekly cases reported1
3,023
2,731
3,505
4,307
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value2
14%
14%
21%
21%
7-day average number of COVID-positive hospitalizations3
348
378
401
454
7-day average of the percent of Emergency Department (ED) encounters classified as coronavirus-related4
3.2%
3.6%
4.0%
4.0%
Weekly deaths reported1
59
53
58
86
1) Weekly case and death counts represent the number of cases and deaths reported for the week ending each Tuesday. The date a case/death is reported by DPH is not the same as the date of testing or death.
2) Wastewater concentrations reflect the week ending each Saturday, with a one week lag. ?
3) Hospitalization data represents average number of COVID-positive hospitalizations for the week ending each Tuesday. Data for past weeks is subject to change in future reports.
4) Emergency department data represents average number of coronavirus classified encounters for the week ending each Sunday. Data for past weeks is subject to change in future reports.?
A wide range of data and dashboards on COVID-19 from the Los Angeles County Department of Public Health are available on the Public Health website at?[link removed] [ [link removed] ]?including:
* COVID-19 Locations & Demographics (data by demographic characteristics and geography, active outbreaks, and citations) [ [link removed] ]
* COVID-19 Response Plan [ [link removed] ]
* COVID-19 Vaccinations [ [link removed] ]
* Skilled Nursing Facility Metrics [ [link removed] ]
Always check with trusted sources for the latest accurate information about novel coronavirus:
* Los Angeles County Department of Public Health: [link removed] [ [link removed] ]
* California Department of Public Health: [link removed] [ [link removed] ]
* Centers for Disease Control and Prevention: [link removed] [ [link removed] ]
* CDC Spanishhttps://espanol.cdc.gov/enes/coronavirus/2019-ncov/index.html [ [link removed] ]
* World Health Organization?[link removed] [ [link removed] ]
* LA County residents can also call 2-1-1
?
For more information: Cases through 12:00pm 4/10/2023
? ?
*?*
*Total Cases*
?
*Laboratory Confirmed Cases *
3,730,372
?
-- Los Angeles County (excl. LB and Pas)
3,526,814
?
-- Long Beach
163,545
?
-- Pasadena
40,013
?
*Deaths*
36,106
?
-- Los Angeles County (excl. LB and Pas)
34,259
?
-- Long Beach
1,400
?
-- Pasadena
447
?
*Age Group (Los Angeles County Cases Only-excl LB and Pas)*
?
?
- 0 to 4
111,375
?
- 5 to 11
282,495
?
- 12 to 17
277,348
?
- 18 to 29
756,907
?
- 30 to 49
1,131,078
?
- 50 to 64
611,722
?
- 65 to 79
261,770
?
-? over 80
91,642
?
-? Under Investigation
2,477
?
*Gender (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Female
1,819,512
?
-? Male
1,616,779
?
-? Other
1,789
?
-? Under Investigation
88,734
?
*Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
6,698
?
-? Asian
262,323
?
-? Black
185,064
?
-? Hispanic/Latino
1,509,496
?
-? Native Hawaiian/Pacific Islander
17,655
?
-? White
489,302
?
-? Other
403,970
?
-? Under Investigation
652,306
?
*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Hospitalized (Ever)
175,832
?
*Deaths Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
80
?
-? Asian
4,456
?
-? Black
3,212
?
-? Hispanic/Latino
16,795
?
-? Native Hawaiian/Pacific Islander
118
?
-? White
9,093
?
-? Other
413
?
-? Under Investigation
92
?
*CITY / COMMUNITY***
*Cases*
*Case Rate*
City of Agoura Hills
6324
30283
City of Alhambra
25357
29239
City of Arcadia
13599
23546
City of Artesia
5982
35618
City of Avalon
288
7444
City of Azusa
17475
34922
City of Baldwin Park
29573
38522
City of Bell
16969
46705
City of Bell Gardens
17073
39639
City of Bellflower
30685
39474
City of Beverly Hills
11529
33398
City of Bradbury
71
6642
City of Burbank
32704
30513
City of Calabasas
5801
23850
City of Carson
34812
37095
City of Cerritos
13274
26512
City of Claremont
10349
28366
City of Commerce*
5853
44785
City of Compton
40095
40134
City of Covina
20188
41173
City of Cudahy
12185
50047
City of Culver City
11870
29775
City of Diamond Bar
13587
23623
City of Downey
46618
40799
City of Duarte
7468
33921
City of El Monte
42606
36332
City of El Segundo
4055
24157
City of Gardena
21782
35528
City of Glendale
60085
29098
City of Glendora
14978
28387
City of Hawaiian Gardens
4992
34015
City of Hawthorne
29502
33228
City of Hermosa Beach
4707
23930
City of Hidden Hills
380
20106
City of Huntington Park
26248
44126
City of Industry
1005
229977
City of Inglewood
38611
33994
City of Irwindale
882
60452
City of La Canada Flintridge
4523
21858
City of La Habra Heights
213
3905
City of La Mirada
14170
28569
City of La Puente
15954
39202
City of La Verne
9212
27679
City of Lakewood
26926
33506
City of Lancaster*
63888
39542
City of Lawndale
10563
31424
City of Lomita
6074
29302
City of Lynwood*
31142
43225
City of Malibu
2869
22136
City of Manhattan Beach
7414
20595
City of Maywood
12766
45513
City of Monrovia
11819
30461
City of Montebello
25374
39416
City of Monterey Park
17423
27983
City of Norwalk
42830
39797
City of Palmdale
66696
41956
City of Palos Verdes Estates
2253
16662
City of Paramount
22662
40451
City of Pico Rivera
28017
43583
City of Pomona
65412
41949
City of Rancho Palos Verdes
7713
18043
City of Redondo Beach
15518
22589
City of Rolling Hills
294
15155
City of Rolling Hills Estates
1526
18809
City of Rosemead
15175
27416
City of San Dimas*
11091
32133
City of San Fernando
12747
51792
City of San Gabriel
11391
27814
City of San Marino
2394
18031
City of Santa Clarita
73247
33230
City of Santa Fe Springs
7864
42823
City of Santa Monica
26307
28457
City of Sierra Madre
2400
21840
City of Signal Hill
4087
34644
City of South El Monte
8399
40215
City of South Gate
47076
47961
City of South Pasadena
6308
24212
City of Temple City
10715
29392
City of Torrance
34185
22902
City of Vernon
357
170813
City of Walnut
7529
24659
City of West Covina
39434
36434
City of West Hollywood
11249
30443
City of Westlake Village
446
5335
City of Whittier
31240
35731
Los Angeles
1523846
37676
Los Angeles - Adams-Normandie
3204
39064
Los Angeles - Alsace
4500
36159
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
845
33773
Los Angeles - Arleta
16890
49142
Los Angeles - Atwater Village
5072
34583
Los Angeles - Baldwin Hills
10202
32778
Los Angeles - Bel Air
2443
28983
Los Angeles - Beverly Crest
3333
26611
Los Angeles - Beverlywood
4213
31982
Los Angeles - Boyle Heights*
40402
46501
Los Angeles - Brentwood
8390
27104
Los Angeles - Brookside
156
26850
Los Angeles - Cadillac-Corning
2291
32172
Los Angeles - Canoga Park
25265
38697
Los Angeles - Carthay
4391
30572
Los Angeles - Central
17022
43655
Los Angeles - Century City
3741
29245
Los Angeles - Century Palms/Cove
16267
48176
Los Angeles - Chatsworth
12904
34818
Los Angeles - Cheviot Hills
2552
27827
Los Angeles - Chinatown
2912
36305
Los Angeles - Cloverdale/Cochran
5316
36529
Los Angeles - Country Club Park
4903
32357
Los Angeles - Crenshaw District
5321
38477
Los Angeles - Crestview
3944
34694
Los Angeles - Del Rey
8395
28043
Los Angeles - Downtown*
16183
58832
Los Angeles - Eagle Rock
13782
34813
Los Angeles - East Hollywood
9514
32485
Los Angeles - Echo Park
4497
31545
Los Angeles - El Sereno
16911
40449
Los Angeles - Elysian Park
1839
32195
Los Angeles - Elysian Valley
3567
35070
Los Angeles - Encino
15210
33671
Los Angeles - Exposition
1276
38364
Los Angeles - Exposition Park
18240
40608
Los Angeles - Faircrest Heights
1258
34944
Los Angeles - Figueroa Park Square
3790
43458
Los Angeles - Florence-Firestone
22848
48157
Los Angeles - Glassell Park
10992
34780
Los Angeles - Gramercy Place
4152
38573
Los Angeles - Granada Hills
21507
36959
Los Angeles - Green Meadows
10050
46733
Los Angeles - Hancock Park
4738
27807
Los Angeles - Harbor City
9393
32312
Los Angeles - Harbor Gateway
15673
35947
Los Angeles - Harbor Pines
646
26816
Los Angeles - Harvard Heights
6149
34095
Los Angeles - Harvard Park
17997
47442
Los Angeles - Highland Park
17221
35587
Los Angeles - Historic Filipinotown
5502
39668
Los Angeles - Hollywood
21654
31726
Los Angeles - Hollywood Hills
7666
26045
Los Angeles - Hyde Park
11939
41831
Los Angeles - Jefferson Park
3150
39019
Los Angeles - Koreatown
16198
31335
Los Angeles - Lafayette Square
1595
34986
Los Angeles - Lake Balboa
16265
38537
Los Angeles - Lakeview Terrace
6134
46707
Los Angeles - Leimert Park
5770
37873
Los Angeles - Lincoln Heights
12804
39280
Los Angeles - Little Armenia
3055
38069
Los Angeles - Little Bangladesh
8659
30551
Los Angeles - Little Tokyo
1475
47079
Los Angeles - Longwood
1778
41310
Los Angeles - Los Feliz
6406
29646
Los Angeles - Manchester Square
3254
38121
Los Angeles - Mandeville Canyon
898
28745
Los Angeles - Mar Vista
10927
25728
Los Angeles - Marina Peninsula
961
22041
Los Angeles - Melrose
26230
33760
Los Angeles - Mid-city
4483
29827
Los Angeles - Miracle Mile
4927
27395
Los Angeles - Mission Hills
11907
49357
Los Angeles - Mt. Washington
8232
34094
Los Angeles - North Hills
25268
41036
Los Angeles - North Hollywood
59039
38990
Los Angeles - Northridge
25574
36641
Los Angeles - Pacific Palisades
5032
23634
Los Angeles - Pacoima
38837
50451
Los Angeles - Palisades Highlands
922
23973
Los Angeles - Palms
12036
27431
Los Angeles - Panorama City
33511
44533
Los Angeles - Park La Brea
3251
23940
Los Angeles - Pico-Union
16372
39128
Los Angeles - Playa Del Rey
602
18836
Los Angeles - Playa Vista
3416
31205
Los Angeles - Porter Ranch
10535
29603
Los Angeles - Rancho Park
2244
34207
Los Angeles - Regent Square
874
31439
Los Angeles - Reseda
32086
41878
Los Angeles - Reseda Ranch
1791
38632
Los Angeles - Reynier Village
1180
27909
Los Angeles - San Pedro*
26159
33521
Los Angeles - Shadow Hills
1321
29739
Los Angeles - Sherman Oaks
27676
31719
Los Angeles - Silverlake
13262
30084
Los Angeles - South Carthay
3270
30864
Los Angeles - South Park
16880
44467
Los Angeles - St Elmo Village
1876
40925
Los Angeles - Studio City
7036
31355
Los Angeles - Sun Valley
23207
44218
Los Angeles - Sunland
6927
33943
Los Angeles - Sycamore Square
211
32612
Los Angeles - Sylmar*
42156
51161
Los Angeles - Tarzana
10551
34172
Los Angeles - Temple-Beaudry
13518
34238
Los Angeles - Thai Town
2806
28606
Los Angeles - Toluca Lake
2561
29423
Los Angeles - Toluca Terrace
529
40505
Los Angeles - Toluca Woods
473
25457
Los Angeles - Tujunga
8974
32269
Los Angeles - University Hills
931
27151
Los Angeles - University Park
11626
42344
Los Angeles - Valley Glen
11208
37340
Los Angeles - Valley Village
8543
34559
Los Angeles - Van Nuys*
37675
40426
Los Angeles - Venice
9155
27018
Los Angeles - Vermont Knolls
7493
43564
Los Angeles - Vermont Square
3754
49027
Los Angeles - Vermont Vista
18708
45423
Los Angeles - Vernon Central
24714
47529
Los Angeles - Victoria Park
2825
33635
Los Angeles - View Heights
1112
30103
Los Angeles - Watts
19627
45993
Los Angeles - Wellington Square
1843
37497
Los Angeles - West Adams
10957
39656
Los Angeles - West Hills
12912
31846
Los Angeles - West Los Angeles
11602
30827
Los Angeles - West Vernon
24754
46145
Los Angeles - Westchester
13882
26902
Los Angeles - Westlake
20871
35163
Los Angeles - Westwood
16658
30786
Los Angeles - Wholesale District*
22189
61416
Los Angeles - Wilmington
23647
41863
Los Angeles - Wilshire Center
17158
34200
Los Angeles - Winnetka
19934
38493
Los Angeles - Woodland Hills
20538
30179
Unincorporated - Acton
2010
25216
Unincorporated - Agua Dulce
990
23810
Unincorporated - Altadena
11658
26726
Unincorporated - Anaverde
420
27851
Unincorporated - Angeles National Forest
92
7390
Unincorporated - Arcadia
2235
28004
Unincorporated - Athens-Westmont
17541
41329
Unincorporated - Athens Village
2823
57648
Unincorporated - Avocado Heights
2730
40295
Unincorporated - Azusa
6365
39974
Unincorporated - Bassett
6199
41837
Unincorporated - Bouquet Canyon
205
19105
Unincorporated - Bradbury
134
124074
Unincorporated - Canyon Country
3755
48590
Unincorporated - Castaic*
9599
35302
Unincorporated - Cerritos
192
32709
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
158
22507
Unincorporated - Covina
6276
37315
Unincorporated - Covina (Charter Oak)
5059
38489
Unincorporated - Del Aire
1218
27726
Unincorporated - Del Rey
144
45283
Unincorporated - Del Sur
703
29110
Unincorporated - Desert View Highlands
957
38387
Unincorporated - Duarte
2004
45257
Unincorporated - East Covina
90
27356
Unincorporated - East La Mirada
1643
31047
Unincorporated - East Lancaster
43
37719
Unincorporated - East Los Angeles
58586
46768
Unincorporated - East Pasadena
432
6747
Unincorporated - East Rancho Dominguez
6324
41312
Unincorporated - East Whittier
1433
27007
Unincorporated - El Camino Village
2759
31384
Unincorporated - El Monte
0
0
Unincorporated - Elizabeth Lake
287
17279
Unincorporated - Florence-Firestone
30383
46956
Unincorporated - Franklin Canyon
1
8333
Unincorporated - Glendora
199
30152
Unincorporated - Hacienda Heights
16565
29619
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
762
30310
Unincorporated - Hi Vista
173
15756
Unincorporated - Kagel/Lopez Canyons
320
22663
Unincorporated - La Crescenta-Montrose
4471
22580
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
913
44000
Unincorporated - La Verne*
664
32549
Unincorporated - Ladera Heights
2065
29204
Unincorporated - Lake Hughes
203
30389
Unincorporated - Lake Los Angeles
4078
31384
Unincorporated - Lake Manor
460
27998
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7647
33923
Unincorporated - Leona Valley
312
17818
Unincorporated - Littlerock
1414
35165
Unincorporated - Littlerock/Juniper Hills
362
27911
Unincorporated - Littlerock/Pearblossom
1324
37097
Unincorporated - Llano
108
12315
Unincorporated - Marina del Rey
2715
28849
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1126
29013
Unincorporated - Newhall
105
47727
Unincorporated - North Lancaster
513
42821
Unincorporated - North Whittier
3151
37691
Unincorporated - Northeast San Gabriel
5313
22104
Unincorporated - Padua Hills
38
17674
Unincorporated - Palmdale
268
31829
Unincorporated - Palos Verdes Peninsula
126
20290
Unincorporated - Pearblossom/Llano
434
22188
Unincorporated - Pellissier Village
376
60743
Unincorporated - Placerita Canyon
24
5217
Unincorporated - Pomona
124
6398
Unincorporated - Quartz Hill
3911
30304
Unincorporated - Rancho Dominguez
1208
45396
Unincorporated - Roosevelt
280
30075
Unincorporated - Rosewood
513
39891
Unincorporated - Rosewood/East Gardena
549
46018
Unincorporated - Rosewood/West Rancho Dominguez
1345
40018
Unincorporated - Rowland Heights
12456
24413
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
44
5128
Unincorporated - San Jose Hills
7948
39306
Unincorporated - San Pasqual
90
4423
Unincorporated - Sand Canyon
63
20455
Unincorporated - Santa Catalina Island
592
221723
Unincorporated - Santa Monica Mountains*
3946
21191
Unincorporated - Saugus
343
221290
Unincorporated - Saugus/Canyon Country
130
36517
Unincorporated - South Antelope Valley
121
26593
Unincorporated - South El Monte
761
42396
Unincorporated - South San Gabriel
3186
36008
Unincorporated - South Whittier
21636
36534
Unincorporated - Southeast Antelope Valley
252
32266
Unincorporated - Stevenson Ranch
5965
28451
Unincorporated - Sun Village
2139
35437
Unincorporated - Sunrise Village
589
45448
Unincorporated - Twin Lakes/Oat Mountain
437
26357
Unincorporated - Val Verde
1220
36869
Unincorporated - Valencia
933
30371
Unincorporated - Valinda
9655
41312
Unincorporated - View Park/Windsor Hills
3618
31096
Unincorporated - Walnut Park
7450
46150
Unincorporated - West Antelope Valley
188
12442
Unincorporated - West Carson
8282
37499
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
893
93803
Unincorporated - West Puente Valley
4254
43254
Unincorporated - West Rancho Dominguez
497
36571
Unincorporated - West Whittier/Los Nietos
10798
40104
Unincorporated - Westfield/Academy Hills
252
19385
Unincorporated - Westhills
199
23719
Unincorporated - White Fence Farms
929
25224
Unincorporated - Whittier
996
26321
Unincorporated - Whittier Narrows
76
633333
Unincorporated - Willowbrook
16713
47870
Unincorporated - Wiseburn
1904
31591
?- Under Investigation
70675
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*? --Case and death numbers include cases identified among persons detained at correctional facilities located in the city/community
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Data are subject to change based on further investigation
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