news release DPH
**For Immediate Release:**
May 18, 2023
*Amid Changes in Federal COVID-19 Data Reporting, Public Health Maintains Robust Monitoring in Los Angeles County*
*"Local COVID-19 Data Helps ""Inform Individuals, Public Health Actions"*
Amid changes in federal COVID-19 data reporting, the Los Angeles County Department of Public Health (Public Health) will maintain robust collection and monitoring of local COVID-19 information as part of its continuing commitment to pandemic preparedness, with the goal of providing residents and businesses with up-to-date information to guide appropriate protective strategies. ?
While the emergency phase of the pandemic has ended, Public Health remains focused on protecting vulnerable residents and ensuring the county remains prepared for future potential changes in transmission due to the constantly evolving nature of the COVID-19 virus.
Timely local data will be used to identify trends and provide appropriate guidance and resources, giving residents the tools to make informed decisions about personal and community risk when needed. Public Health will utilize both the CDC?s hospital admission levels and guidance to inform Los Angeles County?s local public health response.
In alignment with CDC, Public Health views hospitalization data as an important metric to track severity of illness and capacity of the health care system. Because hospitalization data is a lagging indicator, meaning it may take a few weeks of increased transmission for the count of hospitalized patients to increase, Public Health will also monitor other measures that reflect transmission levels.
To help detect increases in transmissions as early as possible, Public Health monitors and reports weekly on COVID-19 case counts, wastewater levels, and the percent of COVID-related emergency department visits.
In addition, Public Health?s COVID-19 monitoring will include tracking an additional seven Early Alert Signals that indicate the possibility of increases in rates of transmission and/or increased illness severity. These Early Alert Signals include metrics on outbreaks in skilled nursing facilities and settings serving people experiencing homelessness, underscoring the importance of continuing to closely monitor COVID-19 outcomes in vulnerable and higher-risk populations. The public can follow this information at ph.lacounty.gov/COVIDresponseplan [ [link removed] ].
Vaccines remain one of the best tools individuals can use to protect themselves from severe illness, hospitalization and death from COVID-19. Vaccines remain free and easily accessible in Los Angeles County. Everyone ages six months and older should have at least one dose of the bivalent COVID-19 vaccine which provides substantial protection against newer Omicron strains. Residents can visit VaccinateLACounty.com [ [link removed] ] or VacunateLosAngeles.com [ [link removed] ] (en espa?ol) to find a vaccination location near them.
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 [ [link removed] ], ph.lacounty.gov/vacunacionencasa [ [link removed] ] (en espa?ol) or by calling the Public Health COVID-19 Call Center at 1-833-540-0473.
Public Health?s Call Center also connects eligible residents to free telehealth to get COVID-19 medications, information, and other resources. Residents are encouraged to call 1-833-540-0473, available daily between 8 a.m. to 8:30 p.m., to access these services.
?I would like to extend my deepest sympathies to those in Los Angeles County who have lost someone to COVID-19. I hope you find strength and peace during this difficult time? said Dr. Barbara Ferrer, Ph.D., M.P.H., M.Ed., Director of the Los Angeles County Department of Public Health. ?In the field of public health, we have always appreciated the importance of having good information and this has been amplified during the pandemic. Efforts to provide resources for those who are at highest risk of severe illness from COVID-19 relies on our ability to have information that tracks changes in the virus, levels of community transmission, and the impact of COVID-19 among different groups. By maintaining capacity to collect and analyze relevant information, we hope that the residents of Los Angeles County have the most accurate understanding of our local COVID-19 situation and actions that can be taken at the community and individual levels to minimize spread and risks for those most vulnerable.?
This week's sequencing data shows XBB.1.5 remains the dominant strain in Los Angeles County, accounting for 81% of sequenced specimens for the week ending April 22, 2023. The second most dominant strains were XBB.1.9.1 and XBB.1.16, each accounting for 5% of sequenced specimens. LA County has had 19 confirmed cases of XBB.1.16 and data from the U.S. Centers for Disease Control and Prevention (CDC) estimates that XBB.1.16 makes up 12% of cases in California and surrounding states.
The 7-day average number of COVID hospitalizations is 222 this week. Reported weekly deaths dropped to 20 deaths reported this week, which may reflect a data reporting issue.? As of Tuesday, May 16, there have been a total of 36,306 deaths in Los Angeles County.
Public Health is now reporting COVID-19 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*
*5/17/2023*
*5/10/2023*
*5/3/2023*
*4/26/2023*
Weekly cases reported1,2
2,323
2,266
2,533
2,659
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value3
10%
11%
13%
18%
7-day average of the percent of Emergency Department (ED) encounters classified as coronavirus-related4
3.0%
2.8%
3.0%
2.7%
7-day average number of COVID-positive hospitalizations5
222*
252
266
275
Weekly deaths reported2
20
46
51
54
1) Case counts are an underrepresentation of the true number of infections, largely due to home tests which are not reported to DPH. Despite this, the trend in reported case counts from week to week is still an indicator of overall trends in transmission.
2) 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.
3) Wastewater concentrations reflect the week ending each Saturday, with a one-week lag.?
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.
5) 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.
*Due to a transition in data source necessitated by the end of the federal public health emergency, this value represents the average number of hospitalizations for the 7-day period ending 5/14/23, rather than 5/16/23.
?
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 Spanish [link removed] [ [link removed] ]
* World Health Organization [link removed] [ [link removed] ]
* LA County residents can also call 2-1-1
Cases through 12:00pm 5/15/2023
? ?
*?*
*Total Cases*
?
*Laboratory Confirmed Cases *
3,743,266
?
-- Los Angeles County (excl. LB and Pas)
3,538,934
?
-- Long Beach
164,093
?
-- Pasadena
40,239
?
*Deaths*
36,306
?
-- Los Angeles County (excl. LB and Pas)
34,449
?
-- Long Beach
1,410
?
-- Pasadena
447
?
*Age Group (Los Angeles County Cases Only-excl LB and Pas)*
?
?
- 0 to 4
111,817
?
- 5 to 11
282,963
?
- 12 to 17
277,751
?
- 18 to 29
758,664
?
- 30 to 49
1,134,406
?
- 50 to 64
614,185
?
- 65 to 79
263,907
?
-? over 80
92,745
?
-? Under Investigation
2,496
?
*Gender (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Female
1,826,263
?
-? Male
1,621,896
?
-? Other
1,793
?
-? Under Investigation
88,982
?
*Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
6,713
?
-? Asian
263,535
?
-? Black
185,832
?
-? Hispanic/Latino
1,512,953
?
-? Native Hawaiian/Pacific Islander
17,713
?
-? White
491,402
?
-? Other
405,974
?
-? Under Investigation
654,812
?
*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Hospitalized (Ever)
177,309
?
*Deaths Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
80
?
-? Asian
4,483
?
-? Black
3,230
?
-? Hispanic/Latino
16,854
?
-? Native Hawaiian/Pacific Islander
119
?
-? White
9,173
?
-? Other
418
?
-? Under Investigation
92
?
*CITY / COMMUNITY***
*Cases*
*Case Rate*
City of Agoura Hills
6336
30340
City of Alhambra
25472
29371
City of Arcadia
13679
23685
City of Artesia
5999
35719
City of Avalon
288
7444
City of Azusa
17505
34982
City of Baldwin Park
29694
38680
City of Bell
17003
46799
City of Bell Gardens
17104
39711
City of Bellflower
30785
39602
City of Beverly Hills
11574
33528
City of Bradbury
71
6642
City of Burbank
32829
30630
City of Calabasas
5834
23986
City of Carson
34937
37228
City of Cerritos
13333
26630
City of Claremont
10415
28547
City of Commerce*
5865
44877
City of Compton
40206
40245
City of Covina
20278
41357
City of Cudahy
12206
50133
City of Culver City
11940
29951
City of Diamond Bar
13683
23790
City of Downey
46807
40964
City of Duarte
7509
34107
City of El Monte
42727
36435
City of El Segundo
4073
24264
City of Gardena
21864
35661
City of Glendale
60305
29204
City of Glendora
15022
28470
City of Hawaiian Gardens
5006
34110
City of Hawthorne
29612
33352
City of Hermosa Beach
4738
24087
City of Hidden Hills
383
20265
City of Huntington Park
26314
44237
City of Industry
1015
232265
City of Inglewood
38742
34109
City of Irwindale
883
60521
City of La Canada Flintridge
4540
21940
City of La Habra Heights
213
3905
City of La Mirada
14227
28684
City of La Puente
15980
39266
City of La Verne
9240
27763
City of Lakewood
27047
33656
City of Lancaster*
64176
39720
City of Lawndale
10585
31490
City of Lomita
6105
29451
City of Lynwood*
31202
43308
City of Malibu
2886
22267
City of Manhattan Beach
7444
20678
City of Maywood
12787
45588
City of Monrovia
11861
30570
City of Montebello
25472
39568
City of Monterey Park
17502
28110
City of Norwalk
43040
39992
City of Palmdale
66888
42076
City of Palos Verdes Estates
2272
16802
City of Paramount
22724
40562
City of Pico Rivera
28143
43779
City of Pomona
65622
42084
City of Rancho Palos Verdes
7770
18177
City of Redondo Beach
15597
22704
City of Rolling Hills
298
15361
City of Rolling Hills Estates
1537
18945
City of Rosemead
15231
27518
City of San Dimas*
11121
32220
City of San Fernando
12778
51918
City of San Gabriel
11470
28007
City of San Marino
2405
18114
City of Santa Clarita
73518
33353
City of Santa Fe Springs
7900
43019
City of Santa Monica
26461
28623
City of Sierra Madre
2415
21977
City of Signal Hill
4104
34789
City of South El Monte
8420
40316
City of South Gate
47174
48061
City of South Pasadena
6334
24312
City of Temple City
10758
29510
City of Torrance
34356
23016
City of Vernon
357
170813
City of Walnut
7575
24810
City of West Covina
39582
36570
City of West Hollywood
11301
30584
City of Westlake Village
453
5419
City of Whittier
31372
35882
Los Angeles
1528561
37793
Los Angeles - Adams-Normandie
3210
39137
Los Angeles - Alsace
4512
36256
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
849
33933
Los Angeles - Arleta
16919
49226
Los Angeles - Atwater Village
5086
34679
Los Angeles - Baldwin Hills
10240
32900
Los Angeles - Bel Air
2452
29090
Los Angeles - Beverly Crest
3342
26683
Los Angeles - Beverlywood
4221
32043
Los Angeles - Boyle Heights*
40488
46600
Los Angeles - Brentwood
8433
27243
Los Angeles - Brookside
157
27022
Los Angeles - Cadillac-Corning
2299
32285
Los Angeles - Canoga Park
25340
38812
Los Angeles - Carthay
4410
30704
Los Angeles - Central
17043
43709
Los Angeles - Century City
3762
29409
Los Angeles - Century Palms/Cove
16299
48270
Los Angeles - Chatsworth
12942
34921
Los Angeles - Cheviot Hills
2558
27892
Los Angeles - Chinatown
2925
36467
Los Angeles - Cloverdale/Cochran
5328
36611
Los Angeles - Country Club Park
4917
32449
Los Angeles - Crenshaw District
5339
38607
Los Angeles - Crestview
3969
34914
Los Angeles - Del Rey
8437
28183
Los Angeles - Downtown*
16225
58985
Los Angeles - Eagle Rock
13841
34962
Los Angeles - East Hollywood
9553
32619
Los Angeles - Echo Park
4511
31643
Los Angeles - El Sereno
16947
40535
Los Angeles - Elysian Park
1844
32283
Los Angeles - Elysian Valley
3576
35159
Los Angeles - Encino
15277
33820
Los Angeles - Exposition
1282
38545
Los Angeles - Exposition Park
18280
40697
Los Angeles - Faircrest Heights
1271
35306
Los Angeles - Figueroa Park Square
3802
43596
Los Angeles - Florence-Firestone
22887
48239
Los Angeles - Glassell Park
11022
34875
Los Angeles - Gramercy Place
4171
38750
Los Angeles - Granada Hills
21578
37081
Los Angeles - Green Meadows
10070
46826
Los Angeles - Hancock Park
4758
27924
Los Angeles - Harbor City
9424
32418
Los Angeles - Harbor Gateway
15714
36041
Los Angeles - Harbor Pines
650
26982
Los Angeles - Harvard Heights
6160
34156
Los Angeles - Harvard Park
18036
47544
Los Angeles - Highland Park
17262
35672
Los Angeles - Historic Filipinotown
5516
39769
Los Angeles - Hollywood
21719
31821
Los Angeles - Hollywood Hills
7705
26177
Los Angeles - Hyde Park
11977
41964
Los Angeles - Jefferson Park
3152
39044
Los Angeles - Koreatown
16244
31424
Los Angeles - Lafayette Square
1600
35095
Los Angeles - Lake Balboa
16320
38667
Los Angeles - Lakeview Terrace
6149
46821
Los Angeles - Leimert Park
5802
38083
Los Angeles - Lincoln Heights
12830
39359
Los Angeles - Little Armenia
3060
38131
Los Angeles - Little Bangladesh
8684
30639
Los Angeles - Little Tokyo
1483
47335
Los Angeles - Longwood
1788
41543
Los Angeles - Los Feliz
6428
29748
Los Angeles - Manchester Square
3261
38203
Los Angeles - Mandeville Canyon
901
28841
Los Angeles - Mar Vista
10987
25869
Los Angeles - Marina Peninsula
962
22064
Los Angeles - Melrose
26314
33868
Los Angeles - Mid-city
4502
29953
Los Angeles - Miracle Mile
4946
27501
Los Angeles - Mission Hills
11936
49478
Los Angeles - Mt. Washington
8259
34206
Los Angeles - North Hills
25370
41202
Los Angeles - North Hollywood
59183
39085
Los Angeles - Northridge
25698
36818
Los Angeles - Pacific Palisades
5054
23738
Los Angeles - Pacoima
38931
50574
Los Angeles - Palisades Highlands
925
24051
Los Angeles - Palms
12098
27573
Los Angeles - Panorama City
33603
44655
Los Angeles - Park La Brea
3261
24013
Los Angeles - Pico-Union
16420
39243
Los Angeles - Playa Del Rey
608
19024
Los Angeles - Playa Vista
3444
31461
Los Angeles - Porter Ranch
10583
29738
Los Angeles - Rancho Park
2257
34405
Los Angeles - Regent Square
877
31547
Los Angeles - Reseda
32208
42038
Los Angeles - Reseda Ranch
1799
38805
Los Angeles - Reynier Village
1181
27933
Los Angeles - San Pedro*
26256
33645
Los Angeles - Shadow Hills
1324
29806
Los Angeles - Sherman Oaks
27796
31856
Los Angeles - Silverlake
13320
30216
Los Angeles - South Carthay
3279
30949
Los Angeles - South Park
16900
44519
Los Angeles - St Elmo Village
1876
40925
Los Angeles - Studio City
7072
31515
Los Angeles - Sun Valley
23243
44287
Los Angeles - Sunland
6943
34021
Los Angeles - Sycamore Square
211
32612
Los Angeles - Sylmar*
42296
51331
Los Angeles - Tarzana
10584
34279
Los Angeles - Temple-Beaudry
13547
34312
Los Angeles - Thai Town
2813
28678
Los Angeles - Toluca Lake
2572
29550
Los Angeles - Toluca Terrace
529
40505
Los Angeles - Toluca Woods
475
25565
Los Angeles - Tujunga
9008
32391
Los Angeles - University Hills
935
27267
Los Angeles - University Park
11650
42432
Los Angeles - Valley Glen
11248
37473
Los Angeles - Valley Village
8577
34697
Los Angeles - Van Nuys*
37730
40485
Los Angeles - Venice
9183
27100
Los Angeles - Vermont Knolls
7511
43669
Los Angeles - Vermont Square
3765
49171
Los Angeles - Vermont Vista
18738
45496
Los Angeles - Vernon Central
24746
47590
Los Angeles - Victoria Park
2828
33671
Los Angeles - View Heights
1117
30238
Los Angeles - Watts
19665
46082
Los Angeles - Wellington Square
1848
37599
Los Angeles - West Adams
10980
39739
Los Angeles - West Hills
12979
32011
Los Angeles - West Los Angeles
11656
30970
Los Angeles - West Vernon
24797
46225
Los Angeles - Westchester
13954
27041
Los Angeles - Westlake
20923
35251
Los Angeles - Westwood
16750
30956
Los Angeles - Wholesale District*
22311
61754
Los Angeles - Wilmington
23684
41928
Los Angeles - Wilshire Center
17184
34252
Los Angeles - Winnetka
20016
38651
Los Angeles - Woodland Hills
20670
30372
Unincorporated - Acton
2014
25267
Unincorporated - Agua Dulce
994
23906
Unincorporated - Altadena
11743
26921
Unincorporated - Anaverde
422
27984
Unincorporated - Angeles National Forest
92
7390
Unincorporated - Arcadia
2254
28242
Unincorporated - Athens-Westmont
17589
41442
Unincorporated - Athens Village
2827
57729
Unincorporated - Avocado Heights
2740
40443
Unincorporated - Azusa
6373
40024
Unincorporated - Bassett
6227
42026
Unincorporated - Bouquet Canyon
206
19199
Unincorporated - Bradbury
136
125926
Unincorporated - Canyon Country
3766
48732
Unincorporated - Castaic*
9623
35390
Unincorporated - Cerritos
192
32709
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
159
22650
Unincorporated - Covina
6296
37434
Unincorporated - Covina (Charter Oak)
5076
38618
Unincorporated - Del Aire
1225
27885
Unincorporated - Del Rey
148
46541
Unincorporated - Del Sur
705
29193
Unincorporated - Desert View Highlands
957
38387
Unincorporated - Duarte
2008
45348
Unincorporated - East Covina
91
27660
Unincorporated - East La Mirada
1651
31198
Unincorporated - East Lancaster
43
37719
Unincorporated - East Los Angeles
58726
46880
Unincorporated - East Pasadena
432
6747
Unincorporated - East Rancho Dominguez
6350
41482
Unincorporated - East Whittier
1439
27120
Unincorporated - El Camino Village
2770
31509
Unincorporated - El Monte
0
0
Unincorporated - Elizabeth Lake
288
17339
Unincorporated - Florence-Firestone
30434
47035
Unincorporated - Franklin Canyon
2
16667
Unincorporated - Glendora
199
30152
Unincorporated - Hacienda Heights
16616
29711
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
762
30310
Unincorporated - Hi Vista
173
15756
Unincorporated - Kagel/Lopez Canyons
323
22875
Unincorporated - La Crescenta-Montrose
4487
22660
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
916
44145
Unincorporated - La Verne*
667
32696
Unincorporated - Ladera Heights
2085
29487
Unincorporated - Lake Hughes
203
30389
Unincorporated - Lake Los Angeles
4082
31414
Unincorporated - Lake Manor
464
28241
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7671
34030
Unincorporated - Leona Valley
315
17990
Unincorporated - Littlerock
1417
35240
Unincorporated - Littlerock/Juniper Hills
363
27988
Unincorporated - Littlerock/Pearblossom
1327
37181
Unincorporated - Llano
108
12315
Unincorporated - Marina del Rey
2728
28987
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1130
29116
Unincorporated - Newhall
105
47727
Unincorporated - North Lancaster
514
42905
Unincorporated - North Whittier
3165
37859
Unincorporated - Northeast San Gabriel
5336
22200
Unincorporated - Padua Hills
38
17674
Unincorporated - Palmdale
268
31829
Unincorporated - Palos Verdes Peninsula
126
20290
Unincorporated - Pearblossom/Llano
435
22239
Unincorporated - Pellissier Village
376
60743
Unincorporated - Placerita Canyon
24
5217
Unincorporated - Pomona
126
6502
Unincorporated - Quartz Hill
3922
30389
Unincorporated - Rancho Dominguez
1213
45584
Unincorporated - Roosevelt
281
30183
Unincorporated - Rosewood
515
40047
Unincorporated - Rosewood/East Gardena
550
46102
Unincorporated - Rosewood/West Rancho Dominguez
1348
40107
Unincorporated - Rowland Heights
12504
24507
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
44
5128
Unincorporated - San Jose Hills
7980
39464
Unincorporated - San Pasqual
90
4423
Unincorporated - Sand Canyon
63
20455
Unincorporated - Santa Catalina Island
597
223596
Unincorporated - Santa Monica Mountains*
3969
21315
Unincorporated - Saugus
346
223226
Unincorporated - Saugus/Canyon Country
135
37921
Unincorporated - South Antelope Valley
122
26813
Unincorporated - South El Monte
764
42563
Unincorporated - South San Gabriel
3227
36472
Unincorporated - South Whittier
21739
36708
Unincorporated - Southeast Antelope Valley
252
32266
Unincorporated - Stevenson Ranch
5993
28584
Unincorporated - Sun Village
2147
35570
Unincorporated - Sunrise Village
591
45602
Unincorporated - Twin Lakes/Oat Mountain
438
26417
Unincorporated - Val Verde
1222
36930
Unincorporated - Valencia
935
30436
Unincorporated - Valinda
9679
41415
Unincorporated - View Park/Windsor Hills
3637
31259
Unincorporated - Walnut Park
7464
46237
Unincorporated - West Antelope Valley
188
12442
Unincorporated - West Carson
8318
37662
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
896
94118
Unincorporated - West Puente Valley
4265
43366
Unincorporated - West Rancho Dominguez
501
36865
Unincorporated - West Whittier/Los Nietos
10834
40238
Unincorporated - Westfield/Academy Hills
253
19462
Unincorporated - Westhills
199
23719
Unincorporated - White Fence Farms
934
25360
Unincorporated - Whittier
1000
26427
Unincorporated - Whittier Narrows
76
633333
Unincorporated - Willowbrook
16751
47979
Unincorporated - Wiseburn
1909
31674
?- Under Investigation
71017
?
*? --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.
?
"Los Angeles County Department of Public Health works to protect health,?
prevent disease, and promote health and well-being."
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