Half of All Open COVID-19 Outbreak Investigations in LA County in Skilled Nursing Facilities; Highlights Need to Protect Older People

Although the number of open outbreak investigations across Los Angeles County is near an all-time low, skilled nursing facilities continue to experience a high proportion of outbreaks when compared to other sectors. Given the vulnerability of skilled nursing facility residents associated with advanced age and serious health conditions, preventing the spread of COVID-19 remains of paramount importance.

The highest number of new outbreaks at skilled nursing facilities occurred at the end of 2021, with 94 outbreak investigations initiated the week of Dec. 26, 2021, coinciding with the dominance of the first Omicron strain. This number has been steadily declining and over the past two months the number of new skilled nursing facilities outbreaks opened within a one-week period has ranged from one to 10.

Cumulatively, over the course of the pandemic, there have been more than 70,000 COVID-19 cases at skilled nursing facilities, nearly evenly divided between residents and staff; more than 4,000 deaths have been reported among residents highlighting the vulnerability of individuals receiving care at the sites. The proportion of COVID deaths among skilled nursing facility residents has dropped steadily since vaccinations became available.? In the summer of 2020, 58% of COVID deaths were among skilled nursing facility residents; in June of 2023, this number declined to 11%. ?

Currently, half of the 30 open outbreaks being investigated by Public Health are at skilled nursing facilities across the county. ?Data on COVID-19 in skilled nursing facilities is reported regularly at ph.lacounty.gov/SNFdashboard.

One of the reasons for the significant declines in deaths is the significant number of residents and staff who are vaccinated: 89% of residents and 98% of staff at skilled nursing facilities completed the initial series. Currently, 70 percent of all residents and 48 percent of staff are up-to-date on their vaccines, meaning they have received the bivalent dose as well.

To help reduce transmission of COVID-19 among people living and working in skilled nursing facilities, Public Health is continuing to implement equity-driven strategies, with public health measures in place to help prevent COVID-19 infection. Whenever a resident or staff member tests positive for COVID-19, testing is required for anyone with close contact with that person. That may range from a small group of close contacts or everyone in the facility if there is a high level of exposure. Facilities are required to provide education about COVID-19 vaccines and offer all staff and residents the most recent COVID-19 vaccine recommended by the U.S. Centers for Disease Control and Prevention (CDC). A Los Angeles County Health Officer Order requires that all health care workers are vaccinated against COVID-19, including one booster.

Local reporting requirements mandate that a skilled nursing facility report any suspected outbreak within 24 hours by calling 888-397-3993 or 213-240-7821, or by filling out an online form. This allows Public Health to track cases, help with investigations, and provide resources.

Visitors to skilled nursing facilities are no longer required by Public Health to be vaccinated or test negative prior to visiting residents. However, individual facilities are granted the discretion to have these requirements as part of their policy to protect residents and staff.

To provide support, Public Health?s mobile vaccine teams regularly hold clinics at skilled nursing facilities to administer the bivalent COVID-19 vaccine to residents and staff. Public Health also distributes free COVID-19 test kits to facilities on a bi-weekly basis. To date, over 8.4 million tests have been distributed to County skilled nursing facilities. This summer, Public Health will offer free educational forums about infection prevention and control for skilled nursing facility staff.

Family members and friends should also take steps to prevent infection when visiting loved ones at skilled nursing facilities. If a person has any signs of respiratory illness, including coughing, sore throat, fever or headache, they should delay their visit until symptoms have passed. Taking a COVID-19 home test before a visit can provide extra assurance. The bivalent vaccine provides an additional layer of protection.

Free tests are available throughout Los Angeles County, including at libraries, through community based organizations, and for each person in a household covered by insurance, eight free tests are available per month at pharmacies. More information is available at ph.lacounty.gov/COVIDTests. If a person has a question about testing, possible symptoms, or has tested positive and needs telehealth services for treatment, the Public Health Call Center is available 7 days a week, from 8 a.m. to 8:30 p.m. at 1-833-540-0473.

?I would like to extend my deepest condolences to those who have lost a loved one to COVID-19. May you feel compassion surround you and find strength in your community 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. ?While I share in the relief that we are in a much less dangerous phase of the pandemic, I remain acutely aware that each day very vulnerable residents still die from COVID-19. I worry that some people think that COVID is gone and that common-sense precautions are no longer helpful. ?Unfortunately, for some of our residents, particularly those residing in skilled nursing and long-term care facilities, sensible protections remain critically important to keep the risk of transmission low. ?By taking advantage of the abundant access to personal protective equipment, tests, vaccines, and treatment, we can all do our part to making sure that our vulnerable family and friends can also enjoy the summer with less worry and lower risk.?

The CDC has replaced COVID-19 Community Levels with Hospital Admission Levels, which can help individuals and communities decide which prevention actions they can take based on the most recent information. Los Angeles County is in the Low Hospital Admission Level with 2.7 weekly COVID-19 hospital admissions per 100,000 people, reported on June 26 for the seven-day period ending June 21.

Public Health reports COVID-19 data weekly. The following table shows case, wastewater, emergency department, hospitalization, and death data in Los Angeles County over the past four weeks.?? All metrics remain stable at levels of low concern.

Metric	?	Date of Weekly Report		?
Metric	6/28/2023	6/21/2023	6/14/2023	6/7/2023
Weekly cases reported^1,2	1,794	1,817	1,716	1,902
SARS-CoV-2 wastewater concentration as a percentage of the Winter 20222023 peak concentration value³	8%	10%	17%	10%
7-day average of the percent of Emergency Department (ED) encounters classified as coronavirusrelated^3,4	2.4%	2.6%	2.7%	2.5%
7-day average number of COVIDpositive hospitalizations^3,4	233	228	212	228
Weekly deaths reported²	28	25	36	46

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.
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.
Time periods covered by each metric: wastewater = week ending each Saturday, with a one-week lag; ED data = week ending each Sunday; hospitalizations = week ending each Saturday. ?4) 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 http://www.publichealth.lacounty.gov/COVIDdata including:

COVID-19 Locations & Demographics (data by demographic characteristics and geography, active outbreaks, and citations)
COVID -19 Response Plan
COVID -19 Vaccinations
Skilled Nursing Facility Metrics

Always check with trusted sources for the latest accurate information about novel coronavirus:

Los Angeles County Department of Public Health:

http://publichealth.lacounty.gov/media/Coronavirus/

California Department of Public Health: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/nCOV2019.aspx
Centers for Disease Control and Prevention: https://www.cdc.gov/coronavirus/2019 https://www.cdc.gov/coronavirus/2019-ncov/index.html ncov/index.html
CDC Spanish https://espanol.cdc.gov/enes/coronavirus/2019 -ncov/index.html
World Health Organization https://www.who.int/health -topics/coronavirus
LA County residents can also call 2-1-1

Cases through 12:00pm 6/26/2023	?	?
?	Total Cases	NEW
Laboratory Confirmed Cases	3,755,601	1794
-- Los Angeles County (excl. LB and Pas)	3,550,608	1664
-- Long Beach	164,578	79
-- Pasadena	40,415	51
Deaths	36,510	28
-- Los Angeles County (excl. LB and Pas)	34,637	26
-- Long Beach	1,420	0
-- Pasadena	453	2
Age Group (Los Angeles County Cases Only-excl LB and Pas)	?	?
- 0 to 4	112,292	?
- 5 to 11	283,330	?
- 12 to 17	278,022	?
- 18 to 29	760,161	?
- 30 to 49	1,137,482	?
- 50 to 64	616,850	?
- 65 to 79	266,107	?
-? over 80	93,804	?
-? Under Investigation	2,560	?
Gender (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? Female	1,832,680	?
-? Male	1,626,978	?
-? Other	1,852	?
-? Under Investigation	89,098	?
Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? American Indian/Alaska Native	6,729	?
-? Asian	264,727	?
-? Black	186,770	?
-? Hispanic/Latino	1,516,426	?
-? Native Hawaiian/Pacific Islander	17,778	?
-? White	493,366	?
-? Other	408,268	?
-? Under Investigation	656,544	?
Hospitalization (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? Hospitalized (Ever)	178,721	?
Deaths Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? American Indian/Alaska Native	80	?
-? Asian	4,515	?
-? Black	3,254	?
-? Hispanic/Latino	16,914	?
-? Native Hawaiian/Pacific Islander	121	?
-? White	9,244	?
-? Other	419	?
-? Under Investigation	90	?
CITY / COMMUNITY**	Cases	Case Rate
City of Agoura Hills	6358	30446
City of Alhambra	25561	29474
City of Arcadia	13764	23832
City of Artesia	6016	35820
City of Avalon	289	7470
City of Azusa	17546	35064
City of Baldwin Park	29769	38777
City of Bell	17052	46934
City of Bell Gardens	17166	39855
City of Bellflower	30883	39729
City of Beverly Hills	11626	33679
City of Bradbury	71	6642
City of Burbank	32948	30741
City of Calabasas	5863	24105
City of Carson	35051	37349
City of Cerritos	13411	26786
City of Claremont	10449	28640
City of Commerce*	5885	45030
City of Compton	40385	40424
City of Covina	20334	41471
City of Cudahy	12240	50273
City of Culver City	12005	30114
City of Diamond Bar	13740	23889
City of Downey	46935	41076
City of Duarte	7524	34175
City of El Monte	42861	36549
City of El Segundo	4105	24455
City of Gardena	21942	35789
City of Glendale	60512	29305
City of Glendora	15077	28574
City of Hawaiian Gardens	5013	34158
City of Hawthorne	29722	33476
City of Hermosa Beach	4745	24123
City of Hidden Hills	387	20476
City of Huntington Park	26400	44382
City of Industry	1018	232952
City of Inglewood	38853	34207
City of Irwindale	887	60795
City of La Canada Flintridge	4564	22056
City of La Habra Heights	215	3941
City of La Mirada	14279	28789
City of La Puente	16026	39379
City of La Verne	9273	27862
City of Lakewood	27164	33802
City of Lancaster*	64353	39830
City of Lawndale	10627	31615
City of Lomita	6135	29596
City of Lynwood*	31380	43555
City of Malibu	2899	22367
City of Manhattan Beach	7468	20745
City of Maywood	12866	45870
City of Monrovia	11898	30665
City of Montebello	25573	39725
City of Monterey Park	17570	28219
City of Norwalk	43205	40145
City of Palmdale	67003	42149
City of Palos Verdes Estates	2284	16891
City of Paramount	22807	40710
City of Pico Rivera	28230	43915
City of Pomona	65804	42201
City of Rancho Palos Verdes	7808	18266
City of Redondo Beach	15676	22819
City of Rolling Hills	301	15515
City of Rolling Hills Estates	1543	19019
City of Rosemead	15282	27610
City of San Dimas*	11145	32289
City of San Fernando	12812	52056
City of San Gabriel	11500	28080
City of San Marino	2420	18227
City of Santa Clarita	73758	33462
City of Santa Fe Springs	7922	43139
City of Santa Monica	26617	28792
City of Sierra Madre	2436	22168
City of Signal Hill	4115	34882
City of South El Monte	8457	40493
City of South Gate	47278	48167
City of South Pasadena	6356	24396
City of Temple City	10788	29593
City of Torrance	34517	23124
City of Vernon	358	171292
City of Walnut	7610	24925
City of West Covina	39705	36684
City of West Hollywood	11343	30697
City of Westlake Village	453	5419
City of Whittier	31476	36001
Los Angeles	1533277	37909
Los Angeles - Adams-Normandie	3219	39247
Los Angeles - Alsace	4536	36448
Los Angeles - Angeles National Forest	0	0
Los Angeles - Angelino Heights	850	33973
Los Angeles - Arleta	16956	49334
Los Angeles - Atwater Village	5107	34822
Los Angeles - Baldwin Hills	10285	33044
Los Angeles - Bel Air	2466	29256
Los Angeles - Beverly Crest	3357	26802
Los Angeles - Beverlywood	4232	32126
Los Angeles - Boyle Heights*	40586	46713
Los Angeles - Brentwood	8461	27333
Los Angeles - Brookside	158	27194
Los Angeles - Cadillac-Corning	2307	32397
Los Angeles - Canoga Park	25415	38927
Los Angeles - Carthay	4442	30927
Los Angeles - Central	17077	43796
Los Angeles - Century City	3779	29542
Los Angeles - Century Palms/Cove	16349	48419
Los Angeles - Chatsworth	13020	35131
Los Angeles - Cheviot Hills	2573	28056
Los Angeles - Chinatown	2957	36866
Los Angeles - Cloverdale/Cochran	5349	36755
Los Angeles - Country Club Park	4931	32541
Los Angeles - Crenshaw District	5358	38745
Los Angeles - Crestview	3983	35037
Los Angeles - Del Rey	8483	28337
Los Angeles - Downtown*	16272	59156
Los Angeles - Eagle Rock	13880	35060
Los Angeles - East Hollywood	9582	32718
Los Angeles - Echo Park	4519	31699
Los Angeles - El Sereno	16975	40602
Los Angeles - Elysian Park	1849	32370
Los Angeles - Elysian Valley	3581	35208
Los Angeles - Encino	15336	33950
Los Angeles - Exposition	1286	38665
Los Angeles - Exposition Park	18323	40793
Los Angeles - Faircrest Heights	1274	35389
Los Angeles - Figueroa Park Square	3810	43688
Los Angeles - Florence-Firestone	22930	48330
Los Angeles - Glassell Park	11053	34973
Los Angeles - Gramercy Place	4191	38935
Los Angeles - Granada Hills	21648	37202
Los Angeles - Green Meadows	10111	47017
Los Angeles - Hancock Park	4770	27995
Los Angeles - Harbor City	9456	32528
Los Angeles - Harbor Gateway	15765	36158
Los Angeles - Harbor Pines	650	26982
Los Angeles - Harvard Heights	6171	34217
Los Angeles - Harvard Park	18093	47695
Los Angeles - Highland Park	17304	35759
Los Angeles - Historic Filipinotown	5529	39863
Los Angeles - Hollywood	21788	31922
Los Angeles - Hollywood Hills	7717	26218
Los Angeles - Hyde Park	12012	42087
Los Angeles - Jefferson Park	3159	39130
Los Angeles - Koreatown	16277	31488
Los Angeles - Lafayette Square	1603	35161
Los Angeles - Lake Balboa	16377	38803
Los Angeles - Lakeview Terrace	6164	46935
Los Angeles - Leimert Park	5825	38234
Los Angeles - Lincoln Heights	12869	39479
Los Angeles - Little Armenia	3065	38193
Los Angeles - Little Bangladesh	8701	30699
Los Angeles - Little Tokyo	1509	48165
Los Angeles - Longwood	1798	41775
Los Angeles - Los Feliz	6448	29841
Los Angeles - Manchester Square	3273	38343
Los Angeles - Mandeville Canyon	906	29001
Los Angeles - Mar Vista	11033	25978
Los Angeles - Marina Peninsula	967	22179
Los Angeles - Melrose	26403	33982
Los Angeles - Mid-city	4514	30033
Los Angeles - Miracle Mile	4964	27601
Los Angeles - Mission Hills	11971	49623
Los Angeles - Mt. Washington	8274	34268
Los Angeles - North Hills	25415	41275
Los Angeles - North Hollywood	59361	39203
Los Angeles - Northridge	25786	36944
Los Angeles - Pacific Palisades	5072	23822
Los Angeles - Pacoima	38981	50638
Los Angeles - Palisades Highlands	927	24103
Los Angeles - Palms	12153	27698
Los Angeles - Panorama City	33680	44757
Los Angeles - Park La Brea	3273	24102
Los Angeles - Pico-Union	16437	39283
Los Angeles - Playa Del Rey	609	19055
Los Angeles - Playa Vista	3461	31616
Los Angeles - Porter Ranch	10618	29836
Los Angeles - Rancho Park	2268	34573
Los Angeles - Regent Square	877	31547
Los Angeles - Reseda	32323	42188
Los Angeles - Reseda Ranch	1811	39064
Los Angeles - Reynier Village	1186	28051
Los Angeles - San Pedro*	26366	33786
Los Angeles - Shadow Hills	1328	29896
Los Angeles - Sherman Oaks	27888	31962
Los Angeles - Silverlake	13360	30306
Los Angeles - South Carthay	3290	31052
Los Angeles - South Park	16946	44641
Los Angeles - St Elmo Village	1879	40990
Los Angeles - Studio City	7104	31658
Los Angeles - Sun Valley	23289	44374
Los Angeles - Sunland	6961	34109
Los Angeles - Sycamore Square	211	32612
Los Angeles - Sylmar*	42375	51427
Los Angeles - Tarzana	10628	34422
Los Angeles - Temple-Beaudry	13574	34380
Los Angeles - Thai Town	2820	28749
Los Angeles - Toluca Lake	2578	29619
Los Angeles - Toluca Terrace	530	40582
Los Angeles - Toluca Woods	477	25673
Los Angeles - Tujunga	9033	32481
Los Angeles - University Hills	935	27267
Los Angeles - University Park	11675	42523
Los Angeles - Valley Glen	11281	37583
Los Angeles - Valley Village	8615	34850
Los Angeles - Van Nuys*	37825	40587
Los Angeles - Venice	9212	27186
Los Angeles - Vermont Knolls	7540	43837
Los Angeles - Vermont Square	3774	49288
Los Angeles - Vermont Vista	18813	45678
Los Angeles - Vernon Central	24802	47698
Los Angeles - Victoria Park	2833	33730
Los Angeles - View Heights	1120	30319
Los Angeles - Watts	19739	46255
Los Angeles - Wellington Square	1857	37782
Los Angeles - West Adams	11004	39826
Los Angeles - West Hills	13037	32154
Los Angeles - West Los Angeles	11707	31106
Los Angeles - West Vernon	24866	46354
Los Angeles - Westchester	14012	27153
Los Angeles - Westlake	20982	35350
Los Angeles - Westwood	16827	31098
Los Angeles - Wholesale District*	22426	62072
Los Angeles - Wilmington	23775	42089
Los Angeles - Wilshire Center	17220	34323
Los Angeles - Winnetka	20078	38771
Los Angeles - Woodland Hills	20758	30502
Unincorporated - Acton	2024	25392
Unincorporated - Agua Dulce	997	23978
Unincorporated - Altadena	11793	27036
Unincorporated - Anaverde	422	27984
Unincorporated - Angeles National Forest	92	7390
Unincorporated - Arcadia	2267	28405
Unincorporated - Athens-Westmont	17652	41591
Unincorporated - Athens Village	2833	57852
Unincorporated - Avocado Heights	2747	40546
Unincorporated - Azusa	6384	40093
Unincorporated - Bassett	6253	42202
Unincorporated - Bouquet Canyon	207	19292
Unincorporated - Bradbury	136	125926
Unincorporated - Canyon Country	3786	48991
Unincorporated - Castaic*	9678	35593
Unincorporated - Cerritos	192	32709
Unincorporated - Charter Oak	10	50000
Unincorporated - Claremont	160	22792
Unincorporated - Covina	6305	37487
Unincorporated - Covina (Charter Oak)	5087	38702
Unincorporated - Del Aire	1230	27999
Unincorporated - Del Rey	148	46541
Unincorporated - Del Sur	706	29234
Unincorporated - Desert View Highlands	959	38468
Unincorporated - Duarte	2010	45393
Unincorporated - East Covina	91	27660
Unincorporated - East La Mirada	1657	31311
Unincorporated - East Lancaster	44	38596
Unincorporated - East Los Angeles	58862	46988
Unincorporated - East Pasadena	433	6762
Unincorporated - East Rancho Dominguez	6392	41756
Unincorporated - East Whittier	1444	27214
Unincorporated - El Camino Village	2776	31578
Unincorporated - El Monte	0	0
Unincorporated - Elizabeth Lake	288	17339
Unincorporated - Florence-Firestone	30525	47176
Unincorporated - Franklin Canyon	2	16667
Unincorporated - Glendora	199	30152
Unincorporated - Hacienda Heights	16671	29809
Unincorporated - Harbor Gateway	4	400000
Unincorporated - Hawthorne	762	30310
Unincorporated - Hi Vista	173	15756
Unincorporated - Kagel/Lopez Canyons	323	22875
Unincorporated - La Crescenta-Montrose	4507	22761
Unincorporated - La Habra Heights	21	3107
Unincorporated - La Rambla	916	44145
Unincorporated - La Verne*	667	32696
Unincorporated - Ladera Heights	2099	29685
Unincorporated - Lake Hughes	204	30539
Unincorporated - Lake Los Angeles	4089	31468
Unincorporated - Lake Manor	466	28363
Unincorporated - Lakewood	28	24561
Unincorporated - Lennox	7696	34141
Unincorporated - Leona Valley	315	17990
Unincorporated - Littlerock	1419	35290
Unincorporated - Littlerock/Juniper Hills	363	27988
Unincorporated - Littlerock/Pearblossom	1327	37181
Unincorporated - Llano	108	12315
Unincorporated - Marina del Rey	2746	29179
Unincorporated - Miracle Mile	0	0
Unincorporated - Monrovia	1134	29219
Unincorporated - Newhall	105	47727
Unincorporated - North Lancaster	514	42905
Unincorporated - North Whittier	3169	37907
Unincorporated - Northeast San Gabriel	5351	22262
Unincorporated - Padua Hills	38	17674
Unincorporated - Palmdale	268	31829
Unincorporated - Palos Verdes Peninsula	127	20451
Unincorporated - Pearblossom/Llano	435	22239
Unincorporated - Pellissier Village	377	60905
Unincorporated - Placerita Canyon	24	5217
Unincorporated - Pomona	126	6502
Unincorporated - Quartz Hill	3930	30451
Unincorporated - Rancho Dominguez	1220	45847
Unincorporated - Roosevelt	281	30183
Unincorporated - Rosewood	517	40202
Unincorporated - Rosewood/East Gardena	550	46102
Unincorporated - Rosewood/West Rancho Dominguez	1356	40345
Unincorporated - Rowland Heights	12549	24595
Unincorporated - San Clemente Island	0	0
Unincorporated - San Francisquito Canyon/Bouquet Canyon	44	5128
Unincorporated - San Jose Hills	7994	39533
Unincorporated - San Pasqual	90	4423
Unincorporated - Sand Canyon	63	20455
Unincorporated - Santa Catalina Island	597	223596
Unincorporated - Santa Monica Mountains*	3976	21352
Unincorporated - Saugus	347	223871
Unincorporated - Saugus/Canyon Country	135	37921
Unincorporated - South Antelope Valley	122	26813
Unincorporated - South El Monte	764	42563
Unincorporated - South San Gabriel	3239	36607
Unincorporated - South Whittier	21799	36809
Unincorporated - Southeast Antelope Valley	252	32266
Unincorporated - Stevenson Ranch	6012	28675
Unincorporated - Sun Village	2150	35620
Unincorporated - Sunrise Village	596	45988
Unincorporated - Twin Lakes/Oat Mountain	438	26417
Unincorporated - Val Verde	1225	37020
Unincorporated - Valencia	939	30566
Unincorporated - Valinda	9703	41517
Unincorporated - View Park/Windsor Hills	3659	31448
Unincorporated - Walnut Park	7483	46354
Unincorporated - West Antelope Valley	188	12442
Unincorporated - West Carson	8358	37843
Unincorporated - West Chatsworth	5	41667
Unincorporated - West LA	897	94223
Unincorporated - West Puente Valley	4273	43447
Unincorporated - West Rancho Dominguez	501	36865
Unincorporated - West Whittier/Los Nietos	10864	40349
Unincorporated - Westfield/Academy Hills	254	19538
Unincorporated - Westhills	200	23838
Unincorporated - White Fence Farms	935	25387
Unincorporated - Whittier	1009	26665
Unincorporated - Whittier Narrows	76	633333
Unincorporated - Willowbrook	16792	48097
Unincorporated - Wiseburn	1913	31741
?- Under Investigation	71459	?
*? --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		?

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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