news release DPH
**For Immediate Release:**
July 6, 2023
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*Public Health Monitors Global, Local Data for Transmission Trends as Part of its Preparedness Efforts*
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As the Los Angeles County Department of Public Health (Public Health) marks more than six weeks of steady COVID-19 metrics, not recording any significant changes in case, death or hospitalization numbers, officials continue to monitor global and local data in preparation for mitigating any potential increases in COVID-19 transmission in Los Angeles County.
Two of the indicators that Public Health officials are tracking are: Seasonal COVID-19 trends observed locally in past years and current COVID-19 transmission in the Southern Hemisphere from April through September, during their winter, foreshadowing respiratory illness patterns that could be seen in the Northern Hemisphere this fall.
Los Angeles County experienced a COVID-19 summer surge in 2020, 2021 and 2022, with COVID hospitalizations increasing by up to 300 percent between June 1 and August 1 in each of those years. While there are no current signs of a summer surge in Los Angeles County, Public Health continues to monitor data to assess the impact of large 4th of July gatherings and increased travel on transmission rates in the summer of 2023. As a precaution, residents are encouraged to continue common-sense measures against COVID-19, including staying home when ill, testing when COVID-19 symptoms or exposure are present, and staying up to date on vaccines.
Public Health officials also are monitoring changing COVID-19 trends throughout the Southern Hemisphere in anticipation of what to possibly expect in Los Angeles County this winter. Current global case trends from the Southern Hemisphere indicate that low COVID transmission in summer does not preclude a winter surge.
One month ago, Australia reported a 28 percent increase in COVID-19 cases and experts declared a seventh COVID wave after a summer of steady case levels. Between the first week of June and the first week of July, COVID-19 deaths in Australia nearly quadrupled. Currently, according to data from the World Health Organization, reported cases are trending upward in Chile and New Zealand. Other Southern Hemisphere countries, including Brazil and Kenya, saw an uptick in cases over the past month with trends now starting to stabilize. While reported case numbers are generally an undercount due to wide availability of at-home testing, they are a reliable indicator of trends in COVID-19 transmission.
As the global pandemic continues, there are many potential drivers that can cause a rise in cases, including increased dominance of new COVID-19 strains. Based on the U.S. Centers for Disease Control and Prevention (CDC) modeling for California and surrounding states, it is predicted that as of June 24, XBB.1.5 remains dominant, accounting for over 27 percent of COVID-19 cases with XBB.1.16 being the second most dominant, accounting for nearly 19 percent of cases. XBB.1.9.2 is estimated to account for about 15 percent of cases. The currently circulating COVID-19 strains in Los Angeles County are all descendants of Omicron.
Knowing that a virus with the potential for severe impact continues to circulate, Public Health maintains preparedness measures, including having therapeutics for COVID-19 treatment readily available at over 750 sites throughout the county and distributing test kits through libraries, community-based organizations, and Public Health vaccine sites. In June of 2023, over 1.1 million test kits were distributed across more than 2,000 sites. Protecting vulnerable people in the community is best accomplished when all residents take advantage of these resources, reducing the chance of unintentional transmission.
If people have questions about when to test, possible symptoms, recommended vaccines, or require telehealth services, the Public Health Call Center is available 7 days a week, from 8:00 am to 8:30 pm, at 1-833-540-0473.
?To those who have lost a loved one to COVID-19, please accept my sincere condolences. I hope that you find strength, peace, and healing during this very difficult time,? said Dr. Barbara Ferrer, Ph.D., M.P.H., M.Ed., Director of the Los Angeles County Department of Public Health. ?When reflecting on the early days of the pandemic, I am struck by how much loss and uncertainty we lived with. And while today?s numbers reflect a much less dangerous time for so many, I am acutely aware that taking common-sense precautions and remaining prepared for potential changes in the future offers us the most sensible path forward. COVID-19 continues to pose a threat for the most vulnerable groups, long-COVID is real and disabling, and the virus is capable of mutating into a new variant of concern. For these reasons, we are committed to keeping COVID-19 tests, therapeutics, and vaccines widely available and accessible in LA County and are prepared to adjust strategies if transmission does rise. As has been the case for the last 3+ years, awareness and sensible actions help us minimize transmission while we enjoy all that LA has to offer.?
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 3.0 weekly COVID-19 hospital admissions per 100,000 people, reported on July 3 for the seven-day period ending June 24.
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.
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*Metric*
*Date of Weekly Report*
*7/5/2023*
*6/28/2023*
*6/21/2023*
*6/14/2023*
Weekly cases reported1,2
1,741
1,794
1,817
1,716
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value3
8%
8%
10%
17%
7-day average of the percent of Emergency Department (ED) encounters classified as coronavirus-related3,4
2.0%
2.4%
2.6%
2.7%
7-day average number of COVID-positive hospitalizations3,4
211
233
242
215
Weekly deaths reported2
29
28
25
36
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) 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.
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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] ] [ [link removed] ]including:
* _COVID-19 Locations & Demographics (data by demographic characteristics and_ _geography, active outbreaks, and citations)_
* COVID [ [link removed] ]- [ [link removed] ]19 Response Plan [ [link removed] ] [ [link removed] ]
* COVID [ [link removed] ]- [ [link removed] ]19 Vaccinations [ [link removed] ] [ [link removed] ]
* Skilled Nursing Facility Metrics [ [link removed] ] [ [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] ] [ [link removed] ]
* California Department of Public Health: [link removed] [ [link removed] ] [ [link removed] ]
* Centers for Disease Control and Prevention: [link removed] [ [link removed] ]
* CDC Spanish [link removed] [ [link removed] ]- [ [link removed] ]ncov/index.html [ [link removed] ] [ [link removed] ]
* World Health Organization [link removed] [ [link removed] ]- [ [link removed] ]topics/coronavirus [ [link removed] ] [ [link removed] ]
* LA County residents can also call 2-1-1
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Cases through 12:00pm 7/3/2023
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*Total Cases*
*NEW*
*Laboratory Confirmed Cases^*
3,757,342
1741
*Deaths^*
36,536
29
*Cases by Age Group (Los Angeles County Cases Only-excl LB and Pas)*
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- 0 to 4
112,362
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- 5 to 11
283,362
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- 12 to 17
278,055
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- 18 to 29
760,387
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- 30 to 49
1,137,983
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- 50 to 64
617,291
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- 65 to 79
266,448
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-? over 80
93,985
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-? Under Investigation
2,561
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*Cases by Gender (Los Angeles County Cases Only-excl LB and Pas)*
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-? Female
1,833,682
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-? Male
1,627,792
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-? Other
1,851
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-? Under Investigation
89,109
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*Cases by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
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-? American Indian/Alaska Native
6,731
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-? Asian
264,921
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-? Black
186,933
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-? Hispanic/Latino
1,516,982
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-? Native Hawaiian/Pacific Islander
17,788
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-? White
493,695
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-? Other
408,578
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-? Under Investigation
656,806
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*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
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-? Hospitalized (Ever)
179,261
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*Deaths by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
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-? American Indian/Alaska Native
80
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-? Asian
4,520
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-? Black
3,254
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-? Hispanic/Latino
16,924
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-? Native Hawaiian/Pacific Islander
121
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-? White
9,253
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-? Other
420
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-? Under Investigation
91
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*CITY / COMMUNITY*
*Cases*
*Case Rate*
City of Agoura Hills
6364
30475
City of Alhambra
25570
29484
City of Arcadia
13777
23855
City of Artesia
6023
35862
City of Avalon
289
7470
City of Azusa
17556
35084
City of Baldwin Park
29783
38796
City of Bell
17056
46945
City of Bell Gardens
17174
39874
City of Bellflower
30901
39752
City of Beverly Hills
11632
33696
City of Bradbury
71
6642
City of Burbank
32981
30772
City of Calabasas
5866
24117
City of Carson
35077
37377
City of Cerritos
13423
26810
City of Claremont
10454
28654
City of Commerce*
5886
45038
City of Compton
40409
40448
City of Covina
20345
41493
City of Cudahy
12242
50281
City of Culver City
12010
30127
City of Diamond Bar
13747
23902
City of Downey
46960
41098
City of Duarte
7529
34198
City of El Monte
42877
36563
City of El Segundo
4108
24473
City of Gardena
21957
35813
City of Glendale
60556
29326
City of Glendora
15086
28591
City of Hawaiian Gardens
5014
34165
City of Hawthorne
29737
33493
City of Hermosa Beach
4746
24128
City of Hidden Hills
387
20476
City of Huntington Park
26401
44383
City of Industry
1019
233181
City of Inglewood
38870
34222
City of Irwindale
888
60864
City of La Canada Flintridge
4567
22070
City of La Habra Heights
215
3941
City of La Mirada
14287
28805
City of La Puente
16034
39398
City of La Verne
9279
27880
City of Lakewood
27179
33821
City of Lancaster*
64383
39848
City of Lawndale
10637
31645
City of Lomita
6137
29606
City of Lynwood*
31413
43601
City of Malibu
2901
22383
City of Manhattan Beach
7476
20767
City of Maywood
12869
45880
City of Monrovia
11904
30680
City of Montebello
25585
39744
City of Monterey Park
17570
28219
City of Norwalk
43235
40173
City of Palmdale
67026
42163
City of Palos Verdes Estates
2284
16891
City of Paramount
22819
40731
City of Pico Rivera
28242
43933
City of Pomona
65821
42212
City of Rancho Palos Verdes
7820
18294
City of Redondo Beach
15690
22839
City of Rolling Hills
301
15515
City of Rolling Hills Estates
1547
19068
City of Rosemead
15309
27659
City of San Dimas*
11151
32307
City of San Fernando
12818
52080
City of San Gabriel
11503
28088
City of San Marino
2420
18227
City of Santa Clarita
73800
33481
City of Santa Fe Springs
7924
43150
City of Santa Monica
26652
28830
City of Sierra Madre
2440
22204
City of Signal Hill
4115
34882
City of South El Monte
8460
40508
City of South Gate
47298
48187
City of South Pasadena
6358
24404
City of Temple City
10793
29606
City of Torrance
34542
23141
City of Vernon
358
171292
City of Walnut
7616
24944
City of West Covina
39727
36704
City of West Hollywood
11349
30714
City of Westlake Village
454
5431
City of Whittier
31485
36011
Los Angeles
1534017
37927
Los Angeles - Adams-Normandie
3220
39259
Los Angeles - Alsace
4538
36464
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
850
33973
Los Angeles - Arleta
16962
49351
Los Angeles - Atwater Village
5108
34829
Los Angeles - Baldwin Hills
10297
33083
Los Angeles - Bel Air
2467
29268
Los Angeles - Beverly Crest
3360
26826
Los Angeles - Beverlywood
4232
32126
Los Angeles - Boyle Heights*
40596
46724
Los Angeles - Brentwood
8469
27359
Los Angeles - Brookside
158
27194
Los Angeles - Cadillac-Corning
2307
32397
Los Angeles - Canoga Park
25423
38939
Los Angeles - Carthay
4442
30927
Los Angeles - Central
17082
43809
Los Angeles - Century City
3783
29573
Los Angeles - Century Palms/Cove
16357
48442
Los Angeles - Chatsworth
13025
35145
Los Angeles - Cheviot Hills
2574
28067
Los Angeles - Chinatown
2958
36878
Los Angeles - Cloverdale/Cochran
5349
36755
Los Angeles - Country Club Park
4932
32548
Los Angeles - Crenshaw District
5365
38795
Los Angeles - Crestview
3986
35063
Los Angeles - Del Rey
8487
28350
Los Angeles - Downtown*
16279
59181
Los Angeles - Eagle Rock
13891
35088
Los Angeles - East Hollywood
9588
32738
Los Angeles - Echo Park
4522
31720
Los Angeles - El Sereno
16983
40621
Los Angeles - Elysian Park
1850
32388
Los Angeles - Elysian Valley
3581
35208
Los Angeles - Encino
15347
33975
Los Angeles - Exposition
1286
38665
Los Angeles - Exposition Park
18328
40804
Los Angeles - Faircrest Heights
1274
35389
Los Angeles - Figueroa Park Square
3811
43699
Los Angeles - Florence-Firestone
22933
48336
Los Angeles - Glassell Park
11055
34980
Los Angeles - Gramercy Place
4193
38954
Los Angeles - Granada Hills
21659
37221
Los Angeles - Green Meadows
10115
47036
Los Angeles - Hancock Park
4770
27995
Los Angeles - Harbor City
9460
32542
Los Angeles - Harbor Gateway
15768
36165
Los Angeles - Harbor Pines
650
26982
Los Angeles - Harvard Heights
6176
34245
Los Angeles - Harvard Park
18102
47718
Los Angeles - Highland Park
17317
35786
Los Angeles - Historic Filipinotown
5531
39877
Los Angeles - Hollywood
21805
31947
Los Angeles - Hollywood Hills
7722
26235
Los Angeles - Hyde Park
12017
42104
Los Angeles - Jefferson Park
3162
39168
Los Angeles - Koreatown
16286
31505
Los Angeles - Lafayette Square
1604
35183
Los Angeles - Lake Balboa
16385
38821
Los Angeles - Lakeview Terrace
6167
46958
Los Angeles - Leimert Park
5829
38261
Los Angeles - Lincoln Heights
12873
39491
Los Angeles - Little Armenia
3065
38193
Los Angeles - Little Bangladesh
8704
30710
Los Angeles - Little Tokyo
1516
48388
Los Angeles - Longwood
1800
41822
Los Angeles - Los Feliz
6451
29855
Los Angeles - Manchester Square
3275
38367
Los Angeles - Mandeville Canyon
909
29097
Los Angeles - Mar Vista
11041
25997
Los Angeles - Marina Peninsula
968
22202
Los Angeles - Melrose
26410
33991
Los Angeles - Mid-city
4515
30040
Los Angeles - Miracle Mile
4967
27617
Los Angeles - Mission Hills
11974
49635
Los Angeles - Mt. Washington
8276
34276
Los Angeles - North Hills
25423
41288
Los Angeles - North Hollywood
59380
39215
Los Angeles - Northridge
25807
36974
Los Angeles - Pacific Palisades
5074
23832
Los Angeles - Pacoima
38994
50655
Los Angeles - Palisades Highlands
928
24129
Los Angeles - Palms
12161
27716
Los Angeles - Panorama City
33692
44773
Los Angeles - Park La Brea
3274
24109
Los Angeles - Pico-Union
16441
39293
Los Angeles - Playa Del Rey
609
19055
Los Angeles - Playa Vista
3462
31625
Los Angeles - Porter Ranch
10626
29858
Los Angeles - Rancho Park
2268
34573
Los Angeles - Regent Square
877
31547
Los Angeles - Reseda
32335
42203
Los Angeles - Reseda Ranch
1812
39085
Los Angeles - Reynier Village
1187
28075
Los Angeles - San Pedro*
26391
33818
Los Angeles - Shadow Hills
1328
29896
Los Angeles - Sherman Oaks
27902
31978
Los Angeles - Silverlake
13367
30322
Los Angeles - South Carthay
3290
31052
Los Angeles - South Park
16949
44648
Los Angeles - St Elmo Village
1880
41012
Los Angeles - Studio City
7105
31662
Los Angeles - Sun Valley
23297
44390
Los Angeles - Sunland
6967
34139
Los Angeles - Sycamore Square
211
32612
Los Angeles - Sylmar*
42388
51443
Los Angeles - Tarzana
10633
34438
Los Angeles - Temple-Beaudry
13579
34393
Los Angeles - Thai Town
2821
28759
Los Angeles - Toluca Lake
2579
29630
Los Angeles - Toluca Terrace
530
40582
Los Angeles - Toluca Woods
477
25673
Los Angeles - Tujunga
9041
32510
Los Angeles - University Hills
936
27297
Los Angeles - University Park
11675
42523
Los Angeles - Valley Glen
11283
37590
Los Angeles - Valley Village
8620
34871
Los Angeles - Van Nuys*
37842
40606
Los Angeles - Venice
9215
27195
Los Angeles - Vermont Knolls
7546
43872
Los Angeles - Vermont Square
3774
49288
Los Angeles - Vermont Vista
18832
45724
Los Angeles - Vernon Central
24804
47702
Los Angeles - Victoria Park
2834
33742
Los Angeles - View Heights
1120
30319
Los Angeles - Watts
19756
46295
Los Angeles - Wellington Square
1858
37803
Los Angeles - West Adams
11014
39862
Los Angeles - West Hills
13045
32174
Los Angeles - West Los Angeles
11718
31135
Los Angeles - West Vernon
24876
46372
Los Angeles - Westchester
14018
27165
Los Angeles - Westlake
20992
35367
Los Angeles - Westwood
16840
31122
Los Angeles - Wholesale District*
22443
62119
Los Angeles - Wilmington
23791
42118
Los Angeles - Wilshire Center
17227
34337
Los Angeles - Winnetka
20088
38790
Los Angeles - Woodland Hills
20777
30530
Unincorporated - Acton
2025
25405
Unincorporated - Agua Dulce
997
23978
Unincorporated - Altadena
11800
27052
Unincorporated - Anaverde
422
27984
Unincorporated - Angeles National Forest
92
7390
Unincorporated - Arcadia
2270
28443
Unincorporated - Athens-Westmont
2834
57872
Unincorporated - Athens Village
17660
41610
Unincorporated - Avocado Heights
2745
40517
Unincorporated - Azusa
6386
40106
Unincorporated - Bassett
6254
42208
Unincorporated - Bouquet Canyon
207
19292
Unincorporated - Bradbury
137
126852
Unincorporated - Canyon Country
3788
49017
Unincorporated - Castaic*
9687
35626
Unincorporated - Cerritos
192
32709
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
160
22792
Unincorporated - Covina
6309
37511
Unincorporated - Covina (Charter Oak)
5092
38740
Unincorporated - Del Aire
1230
27999
Unincorporated - Del Rey
148
46541
Unincorporated - Del Sur
706
29234
Unincorporated - Desert View Highlands
961
38548
Unincorporated - Duarte
2010
45393
Unincorporated - East Covina
91
27660
Unincorporated - East La Mirada
1658
31330
Unincorporated - East Lancaster
44
38596
Unincorporated - East Los Angeles
58876
47000
Unincorporated - East Pasadena
433
6762
Unincorporated - East Rancho Dominguez
6398
41795
Unincorporated - East Whittier
1445
27233
Unincorporated - El Camino Village
2776
31578
Unincorporated - El Monte
1
690
Unincorporated - Elizabeth Lake
288
17339
Unincorporated - Florence-Firestone
30536
47193
Unincorporated - Franklin Canyon
2
16667
Unincorporated - Glendora
199
30152
Unincorporated - Hacienda Heights
16680
29825
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
763
30350
Unincorporated - Hi Vista
173
15756
Unincorporated - Kagel/Lopez Canyons
323
22875
Unincorporated - La Crescenta-Montrose
4510
22777
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
918
44241
Unincorporated - La Verne*
667
32696
Unincorporated - Ladera Heights
2100
29699
Unincorporated - Lake Hughes
204
30539
Unincorporated - Lake Los Angeles
4093
31499
Unincorporated - Lake Manor
466
28363
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7701
34163
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
2748
29200
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1135
29245
Unincorporated - Newhall
105
47727
Unincorporated - North Lancaster
514
42905
Unincorporated - North Whittier
3169
37907
Unincorporated - Northeast San Gabriel
5354
22275
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
3932
30466
Unincorporated - Rancho Dominguez
1220
45847
Unincorporated - Roosevelt
281
30183
Unincorporated - Rosewood
517
40202
Unincorporated - Rosewood/East Gardena
552
46270
Unincorporated - Rosewood/West Rancho Dominguez
1356
40345
Unincorporated - Rowland Heights
12553
24603
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
44
5128
Unincorporated - San Jose Hills
7995
39538
Unincorporated - San Pasqual
90
4423
Unincorporated - Sand Canyon
63
20455
Unincorporated - Santa Catalina Island
597
223596
Unincorporated - Santa Monica Mountains*
3979
21368
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
3241
36630
Unincorporated - South Whittier
21808
36824
Unincorporated - Southeast Antelope Valley
252
32266
Unincorporated - Stevenson Ranch
6017
28699
Unincorporated - Sun Village
2151
35636
Unincorporated - Sunrise Village
596
45988
Unincorporated - Twin Lakes/Oat Mountain
439
26478
Unincorporated - Val Verde
1226
37050
Unincorporated - Valencia
940
30599
Unincorporated - Valinda
9707
41534
Unincorporated - View Park/Windsor Hills
3662
31474
Unincorporated - Walnut Park
7484
46361
Unincorporated - West Antelope Valley
188
12442
Unincorporated - West Carson
8362
37861
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
897
94223
Unincorporated - West Puente Valley
4274
43457
Unincorporated - West Rancho Dominguez
501
36865
Unincorporated - West Whittier/Los Nietos
10865
40353
Unincorporated - Westfield/Academy Hills
254
19538
Unincorporated - Westhills
200
23838
Unincorporated - White Fence Farms
937
25441
Unincorporated - Whittier
1009
26665
Unincorporated - Whittier Narrows
76
633333
Unincorporated - Willowbrook
16801
48122
Unincorporated - Wiseburn
1915
31774
?- Under Investigation
71518
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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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^ The weekly case count reported on 7/6/23 does not include Long Beach or Pasadena cases. The cumulative case count includes cases reported by Long Beach and Pasadena public health departments through 6/27/23. The weekly death count reported on 7/6/23 includes Pasadena but not Long Beach. The cumulative death count includes all Pasadena deaths as well as Long Beach deaths reported through 6/27/23.
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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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prevent disease, and promote health and well-being."
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