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Press Release: Local Data Shows that COVID-19 Continues to Significantly Impact People 65+; Updated COVID-19 Vaccination Recommended
| From | Los Angeles County Public Health <[email protected]> |
| Subject | Press Release: Local Data Shows that COVID-19 Continues to Significantly Impact People 65+; Updated COVID-19 Vaccination Recommended |
| Date | September 27, 2023 9:46 PM |
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news release DPH
**For Immediate Release:**
September 27, 2023
?
*Local Data Shows that COVID-19 Continues to Significantly Impact People 65+; Updated COVID-19 Vaccination Recommended*
?
With the start of fall, and the possibility of increases in circulating respiratory viruses, the Los Angeles County Department of Public Health (Public Health) recommends that everyone who is eligible receives the updated COVID-19 vaccine and flu vaccines, especially those who are at elevated risk for severe illness or death from a COVID and/or influenza infection.
Protection from the new COVID-19 vaccine has been shown in studies to provide a boost to the immune system and reduce severe illness for those infected; this protection will be beneficial through the fall and winter months when it is easier to get exposed to COVID-19 as many activities move indoors and there is increased travel and gatherings for the holidays.? ?
In each of the past three winters, we have seen a substantial increase in COVID cases, hospitalizations and tragically, deaths. Last winter, comparing Nov. 1 to Jan. 1, hospitalizations tripled and deaths quadrupled.
With COVID-19 rates also expected to rise this winter, it is especially important for people in groups that have experienced more illness severity to take advantage of the easy access to the updated COVID vaccines. In Los Angeles County, data shows that certain groups of people are more vulnerable for severe illness from COVID-19 and this continues to be true, especially for older people and Black and Brown residents.
While hospitalization and death rates have been lower this year compared to this time last year, there are still significant numbers of people who are hospitalized and who, tragically, pass away.
Over the 90-day period ending Sept. 4, the COVID hospitalization rate among people 65 and older was 10 times higher than the hospitalization rate among people younger than 65. Within the 65+ group, residents 80 and over are at particularly high risk, with a hospitalization rate that was more than double the rate for those ages 65-79. *?*For the same time period, the COVID death rate among people 65 and older was 30 times higher than the death rate among people younger than 65, again with residents 80+ at the highest risk.
Overall, looking at the past 90 days in Los Angeles County, people who were not vaccinated against COVID-19 were three times more likely to be hospitalized and four times more likely to die from COVID-19 than people who were vaccinated.
While the vaccine will benefit everyone, it is especially important for people with higher risk for poor outcomes if infected with COVID-19 to get the updated COVID-19 vaccine. Each day, more and more sites around Los Angeles County are receiving their doses and we expect that more than 1,000 unique vaccination sites in Los Angeles County will have the updated vaccine over the next few weeks. ?Of these sites, over 400 will offer vaccines under the U.S. Centers for Disease Control and Prevention (CDC) Bridge Access Program for people who are uninsured or underinsured, including at all Public Health vaccination sites. For people with health insurance plans, there should be no out-of-pocket costs although some residents may need to get vaccinated at a network provider site to avoid any costs.
A full list of vaccine sites can be found a ph.lacounty.gov/vaccines by clicking the links under the ?Get Vaccinated? section of the site.
For parents looking to get vaccine protection for their kids, there are 337 Vaccine for Children Sites active in the county, offering the COVID-19 vaccine for children, as well as other childhood vaccines, free of charge. Parents can visit bit.ly/VaccineForChildrenSites to find a location that is convenient for them.
Residents 6 months and older should receive at least one dose of the updated vaccine. To maximize protection, it is recommended that a person wait two months since their last dose if they have been recently vaccinated against COVID-19, and they can wait up to three months after a COVID infection. For children under 5 years old or people who are immunocompromised, Public Health recommends speaking to a provider about the most effective timing and dosing for the updated COVID-19 vaccine; multiple doses of the updated vaccine may be recommended.
Information is available seven days a week, from 8 a.m. to 8 p.m., from the Public Health Call Center at 1-833-540-0473. This free service is available to answer questions about COVID-19 and the updated vaccine. Callers can also get help finding sites with available vaccine, scheduling appointments or arranging a free homebound vaccine appointment.
In Los Angeles County, based on data through Sept. 16, the CDC Hospital Admission Level is 6.7, lower than the week before.
COVID-19 strains currently circulating in Los Angeles County are all descendants of the Omicron variant and more than 95 percent are descendants of the Omicron XBB strain. For the most recent two-week period ending Sept. 2,? EG.5 was the dominant strain, accounting for 31 percent of sequenced specimens. The second most dominant strain was XBB.1.16, accounting for 10 percent of sequenced specimens, followed by XBB.2.3, accounting for 9 percent of sequenced specimens.
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.
?
*Metric*
*Date of Weekly Report*
*?9/27/23*
*9/20/2023*
*9/13/2023*
*9/6/2023*
Daily average cases?
?382
475
558
569
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value
?30%
38%
33%
29%
Daily average of the percent of Emergency Department (ED) encounters classified as coronavirus-related
?3.9%
3.8%
4.9%
5.0%
Daily average number of COVID-positive hospitalizations
?542
588
620
561
Daily average deaths
?3.9
4.0
4.0
1.3
Percent of all deaths due to COVID-19
?3.3%
3.1%
2.4%
2.7%
All daily averages are 7-day averages. Data for past weeks are subject to change in future reports. Time periods covered by each metric: cases = week ending each Saturday; wastewater = week ending each Saturday, with a one-week lag; ED data = week ending each Sunday; hospitalizations = week ending each Saturday; deaths = week ending each Monday, with a three-week lag; death percentage = week ending Monday, with a one-week lag.?
Case data is presented by episode date, an approximation of the date the illness began, and death data is presented by date of death. This is a change from how case and death data were presented prior to July 26, 2023, which was by date of report. Daily average cases do not include Long Beach and Pasadena; daily average deaths include Long Beach and Pasadena. ?
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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] ]
* Centers for Disease Control and Prevention ? Spanish:
[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 9/25/2023
? ?
*?*
*Total Cases*
?
*Laboratory Confirmed Cases "(includes LB and Pas through 6/27/23; excludes LB and Pas after 6/27/23)"*
3,804,279
?
*Deaths "(includes LB and Pas)"*
36,741
?
*Cases by Age Group (Los Angeles County Cases Only-excl LB and Pas)*
?
?
- 0 to 4
115,071
?
- 5 to 11
284,680
?
- 12 to 17
279,493
?
- 18 to 29
766,782
?
- 30 to 49
1,150,731
?
- 50 to 64
626,906
?
- 65 to 79
274,684
?
-? over 80
98,341
?
-? Under Investigation
2,598
?
*Cases by Gender (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Female
1,860,536
?
-? Male
1,647,422
?
-? Other
1,877
?
-? Under Investigation
89,451
?
*Cases by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
6,837
?
-? Asian
269,119
?
-? Black
191,198
?
-? Hispanic/Latino
1,532,398
?
-? Native Hawaiian/Pacific Islander
17,994
?
-? White
502,243
?
-? Other
415,521
?
-? Under Investigation
663,976
?
*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Hospitalized (Ever)
185,911
?
*Deaths by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
82
?
-? Asian
4,575
?
-? Black
3,278
?
-? Hispanic/Latino
16,955
?
-? Native Hawaiian/Pacific Islander
115
?
-? White
9,308
?
-? Other
444
?
-? Under Investigation
97
?
*CITY / COMMUNITY***
*Cases*
*Case Rate*
City of Agoura Hills
6462
30944
City of Alhambra
25991
29970
City of Arcadia
14013
24263
City of Artesia
6166
36713
City of Avalon
293
7573
City of Azusa
17759
35490
City of Baldwin Park
30103
39212
City of Bell
17185
47300
City of Bell Gardens
17359
40303
City of Bellflower
31306
40273
City of Beverly Hills
11792
34160
City of Bradbury
71
6642
City of Burbank
33441
31201
City of Calabasas
6000
24668
City of Carson
35683
38023
City of Cerritos
13703
27369
City of Claremont
10560
28944
City of Commerce*
5934
45405
City of Compton
40949
40988
City of Covina
20632
42079
City of Cudahy
12324
50618
City of Culver City
12254
30739
City of Diamond Bar
13946
24248
City of Downey
47445
41523
City of Duarte
7621
34616
City of El Monte
43400
37009
City of El Segundo
4178
24890
City of Gardena
22356
36464
City of Glendale
61352
29711
City of Glendora
15406
29198
City of Hawaiian Gardens
5087
34662
City of Hawthorne
30228
34046
City of Hermosa Beach
4833
24570
City of Hidden Hills
394
20847
City of Huntington Park
26608
44731
City of Industry
1040
237986
City of Inglewood
39508
34784
City of Irwindale
901
61755
City of La Canada Flintridge
4664
22539
City of La Habra Heights
215
3941
City of La Mirada
14515
29265
City of La Puente
16183
39765
City of La Verne
9399
28240
City of Lakewood
27653
34411
City of Lancaster*
65238
40378
City of Lawndale
10790
32100
City of Lomita
6238
30093
City of Lynwood*
31755
44075
City of Malibu
2941
22691
City of Manhattan Beach
7610
21139
City of Maywood
12962
46212
City of Monrovia
12056
31072
City of Montebello
25833
40129
City of Monterey Park
17855
28677
City of Norwalk
43684
40590
City of Palmdale
67863
42690
City of Palos Verdes Estates
2334
17261
City of Paramount
23032
41112
City of Pico Rivera
28468
44285
City of Pomona
66564
42688
City of Rancho Palos Verdes
8033
18792
City of Redondo Beach
16000
23291
City of Rolling Hills
303
15619
City of Rolling Hills Estates
1591
19611
City of Rosemead
15491
27987
City of San Dimas*
11281
32683
City of San Fernando
12943
52588
City of San Gabriel
11695
28556
City of San Marino
2476
18649
City of Santa Clarita
75083
34063
City of Santa Fe Springs
7998
43553
City of Santa Monica
27169
29389
City of Sierra Madre
2479
22559
City of Signal Hill
4180
35433
City of South El Monte
8531
40847
City of South Gate
47741
48638
City of South Pasadena
6459
24792
City of Temple City
10938
30004
City of Torrance
35326
23666
City of Vernon
361
172727
City of Walnut
7719
25282
City of West Covina
40216
37156
City of West Hollywood
11483
31076
City of Westlake Village
458
5478
City of Whittier
31760
36325
Los Angeles
1553431
38407
Los Angeles - Adams-Normandie
3255
39685
Los Angeles - Alsace
4619
37115
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
853
34093
Los Angeles - Arleta
17120
49811
Los Angeles - Atwater Village
5172
35265
Los Angeles - Baldwin Hills
10472
33645
Los Angeles - Bel Air
2514
29826
Los Angeles - Beverly Crest
3406
27194
Los Angeles - Beverlywood
4298
32627
Los Angeles - Boyle Heights*
40978
47164
Los Angeles - Brentwood
8606
27802
Los Angeles - Brookside
158
27194
Los Angeles - Cadillac-Corning
2334
32776
Los Angeles - Canoga Park
25779
39484
Los Angeles - Carthay
4505
31365
Los Angeles - Central
17187
44078
Los Angeles - Century City
3854
30128
Los Angeles - Century Palms/Cove
16551
49017
Los Angeles - Chatsworth
13229
35695
Los Angeles - Cheviot Hills
2616
28525
Los Angeles - Chinatown
3011
37539
Los Angeles - Cloverdale/Cochran
5419
37236
Los Angeles - Country Club Park
4980
32865
Los Angeles - Crenshaw District
5465
39518
Los Angeles - Crestview
4060
35714
Los Angeles - Del Rey
8655
28912
Los Angeles - Downtown*
16431
59734
Los Angeles - Eagle Rock
14057
35507
Los Angeles - East Hollywood
9730
33223
Los Angeles - Echo Park
4570
32057
Los Angeles - El Sereno
17174
41078
Los Angeles - Elysian Park
1867
32686
Los Angeles - Elysian Valley
3625
35641
Los Angeles - Encino
15560
34446
Los Angeles - Exposition
1312
39447
Los Angeles - Exposition Park
18490
41165
Los Angeles - Faircrest Heights
1293
35917
Los Angeles - Figueroa Park Square
3854
44192
Los Angeles - Florence-Firestone
23155
48804
Los Angeles - Glassell Park
11182
35382
Los Angeles - Gramercy Place
4263
39604
Los Angeles - Granada Hills
21991
37791
Los Angeles - Green Meadows
10242
47626
Los Angeles - Hancock Park
4834
28370
Los Angeles - Harbor City
9616
33079
Los Angeles - Harbor Gateway
16016
36734
Los Angeles - Harbor Pines
658
27314
Los Angeles - Harvard Heights
6237
34583
Los Angeles - Harvard Park
18324
48304
Los Angeles - Highland Park
17501
36166
Los Angeles - Historic Filipinotown
5591
40310
Los Angeles - Hollywood
22075
32342
Los Angeles - Hollywood Hills
7828
26595
Los Angeles - Hyde Park
12193
42721
Los Angeles - Jefferson Park
3208
39737
Los Angeles - Koreatown
16472
31865
Los Angeles - Lafayette Square
1625
35644
Los Angeles - Lake Balboa
16590
39307
Los Angeles - Lakeview Terrace
6231
47445
Los Angeles - Leimert Park
5899
38720
Los Angeles - Lincoln Heights
13001
39884
Los Angeles - Little Armenia
3094
38555
Los Angeles - Little Bangladesh
8781
30981
Los Angeles - Little Tokyo
1533
48931
Los Angeles - Longwood
1827
42449
Los Angeles - Los Feliz
6530
30220
Los Angeles - Manchester Square
3327
38976
Los Angeles - Mandeville Canyon
926
29641
Los Angeles - Mar Vista
11238
26460
Los Angeles - Marina Peninsula
985
22592
Los Angeles - Melrose
26715
34384
Los Angeles - Mid-city
4590
30539
Los Angeles - Miracle Mile
5038
28012
Los Angeles - Mission Hills
12145
50344
Los Angeles - Mt. Washington
8363
34637
Los Angeles - North Hills
25809
41915
Los Angeles - North Hollywood
60074
39673
Los Angeles - Northridge
26148
37463
Los Angeles - Pacific Palisades
5160
24236
Los Angeles - Pacoima
39355
51124
Los Angeles - Palisades Highlands
949
24675
Los Angeles - Palms
12390
28238
Los Angeles - Panorama City
34050
45249
Los Angeles - Park La Brea
3315
24411
Los Angeles - Pico-Union
16602
39678
Los Angeles - Playa Del Rey
621
19431
Los Angeles - Playa Vista
3528
32228
Los Angeles - Porter Ranch
10824
30415
Los Angeles - Rancho Park
2305
35137
Los Angeles - Regent Square
894
32158
Los Angeles - Reseda
32775
42778
Los Angeles - Reseda Ranch
1836
39603
Los Angeles - Reynier Village
1202
28430
Los Angeles - San Pedro*
26793
34333
Los Angeles - Shadow Hills
1340
30167
Los Angeles - Sherman Oaks
28351
32492
Los Angeles - Silverlake
13531
30694
Los Angeles - South Carthay
3374
31845
Los Angeles - South Park
17075
44980
Los Angeles - St Elmo Village
1900
41449
Los Angeles - Studio City
7198
32077
Los Angeles - Sun Valley
23587
44942
Los Angeles - Sunland
7051
34550
Los Angeles - Sycamore Square
212
32767
Los Angeles - Sylmar*
42893
52056
Los Angeles - Tarzana
10779
34911
Los Angeles - Temple-Beaudry
13706
34715
Los Angeles - Thai Town
2860
29157
Los Angeles - Toluca Lake
2618
30078
Los Angeles - Toluca Terrace
537
41118
Los Angeles - Toluca Woods
495
26642
Los Angeles - Tujunga
9160
32938
Los Angeles - University Hills
945
27559
Los Angeles - University Park
11744
42774
Los Angeles - Valley Glen
11420
38046
Los Angeles - Valley Village
8733
35328
Los Angeles - Van Nuys*
38340
41140
Los Angeles - Venice
9335
27549
Los Angeles - Vermont Knolls
7643
44436
Los Angeles - Vermont Square
3808
49732
Los Angeles - Vermont Vista
19019
46178
Los Angeles - Vernon Central
24977
48035
Los Angeles - Victoria Park
2864
34099
Los Angeles - View Heights
1143
30942
Los Angeles - Watts
19993
46851
Los Angeles - Wellington Square
1879
38230
Los Angeles - West Adams
11145
40337
Los Angeles - West Hills
13262
32709
Los Angeles - West Los Angeles
11964
31789
Los Angeles - West Vernon
25091
46773
Los Angeles - Westchester
14245
27605
Los Angeles - Westlake
21241
35786
Los Angeles - Westwood
17086
31577
Los Angeles - Wholesale District*
22682
62781
Los Angeles - Wilmington
24086
42640
Los Angeles - Wilshire Center
17387
34656
Los Angeles - Winnetka
20353
39302
Los Angeles - Woodland Hills
21174
31113
Unincorporated - Acton
2058
25819
Unincorporated - Agua Dulce
1017
24459
Unincorporated - Altadena
12049
27623
Unincorporated - Anaverde
426
28249
Unincorporated - Angeles National Forest
94
7550
Unincorporated - Arcadia
2317
29031
Unincorporated - Athens-Westmont
2864
58485
Unincorporated - Athens Village
17934
42255
Unincorporated - Avocado Heights
2765
40812
Unincorporated - Azusa
6458
40558
Unincorporated - Bassett
6319
42647
Unincorporated - Bouquet Canyon
211
19664
Unincorporated - Bradbury
137
126852
Unincorporated - Canyon Country
3851
49832
Unincorporated - Castaic*
9910
36446
Unincorporated - Cerritos
193
32879
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
160
22792
Unincorporated - Covina
6383
37951
Unincorporated - Covina (Charter Oak)
5143
39128
Unincorporated - Del Aire
1247
28386
Unincorporated - Del Rey
150
47170
Unincorporated - Del Sur
714
29565
Unincorporated - Desert View Highlands
981
39350
Unincorporated - Duarte
2049
46274
Unincorporated - East Covina
92
27964
Unincorporated - East La Mirada
1674
31633
Unincorporated - East Lancaster
44
38596
Unincorporated - East Los Angeles
59439
47449
Unincorporated - East Pasadena
434
6778
Unincorporated - East Rancho Dominguez
6452
42148
Unincorporated - East Whittier
1463
27573
Unincorporated - El Camino Village
2817
32044
Unincorporated - El Monte
1
690
Unincorporated - Elizabeth Lake
293
17640
Unincorporated - Florence-Firestone
30782
47573
Unincorporated - Franklin Canyon
2
16667
Unincorporated - Glendora
202
30606
Unincorporated - Hacienda Heights
16854
30136
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
778
30947
Unincorporated - Hi Vista
175
15938
Unincorporated - Kagel/Lopez Canyons
329
23300
Unincorporated - La Crescenta-Montrose
4584
23150
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
964
46458
Unincorporated - La Verne*
671
32892
Unincorporated - Ladera Heights
2152
30434
Unincorporated - Lake Hughes
208
31138
Unincorporated - Lake Los Angeles
4136
31830
Unincorporated - Lake Manor
479
29154
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7800
34602
Unincorporated - Leona Valley
317
18104
Unincorporated - Littlerock
1442
35862
Unincorporated - Littlerock/Juniper Hills
368
28373
Unincorporated - Littlerock/Pearblossom
1343
37630
Unincorporated - Llano
110
12543
Unincorporated - Marina del Rey
2808
29837
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1152
29683
Unincorporated - Newhall
107
48636
Unincorporated - North Lancaster
516
43072
Unincorporated - North Whittier
3208
38373
Unincorporated - Northeast San Gabriel
5437
22620
Unincorporated - Padua Hills
38
17674
Unincorporated - Palmdale
272
32304
Unincorporated - Palos Verdes Peninsula
132
21256
Unincorporated - Pearblossom/Llano
440
22495
Unincorporated - Pellissier Village
380
61389
Unincorporated - Placerita Canyon
24
5217
Unincorporated - Pomona
128
6605
Unincorporated - Quartz Hill
3970
30761
Unincorporated - Rancho Dominguez
1242
46674
Unincorporated - Roosevelt
285
30612
Unincorporated - Rosewood
521
40513
Unincorporated - Rosewood/East Gardena
559
46857
Unincorporated - Rosewood/West Rancho Dominguez
1382
41119
Unincorporated - Rowland Heights
12708
24907
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
44
5128
Unincorporated - San Jose Hills
8060
39860
Unincorporated - San Pasqual
91
4472
Unincorporated - Sand Canyon
63
20455
Unincorporated - Santa Catalina Island
597
223596
Unincorporated - Santa Monica Mountains*
4025
21615
Unincorporated - Saugus
353
227742
Unincorporated - Saugus/Canyon Country
149
41854
Unincorporated - South Antelope Valley
124
27253
Unincorporated - South El Monte
769
42841
Unincorporated - South San Gabriel
3280
37071
Unincorporated - South Whittier
21979
37113
Unincorporated - Southeast Antelope Valley
257
32907
Unincorporated - Stevenson Ranch
6145
29309
Unincorporated - Sun Village
2175
36034
Unincorporated - Sunrise Village
603
46528
Unincorporated - Twin Lakes/Oat Mountain
447
26960
Unincorporated - Val Verde
1240
37474
Unincorporated - Valencia
960
31250
Unincorporated - Valinda
9820
42018
Unincorporated - View Park/Windsor Hills
3725
32015
Unincorporated - Walnut Park
7542
46720
Unincorporated - West Antelope Valley
195
12905
Unincorporated - West Carson
8586
38875
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
934
98109
Unincorporated - West Puente Valley
4322
43945
Unincorporated - West Rancho Dominguez
508
37380
Unincorporated - West Whittier/Los Nietos
10934
40609
Unincorporated - Westfield/Academy Hills
262
20154
Unincorporated - Westhills
208
24791
Unincorporated - White Fence Farms
946
25686
Unincorporated - Whittier
1022
27008
Unincorporated - Whittier Narrows
77
641667
Unincorporated - Willowbrook
17021
48753
Unincorporated - Wiseburn
1950
32354
?- Under Investigation
73073
?
*? --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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"Los Angeles County Department of Public Health works to protect health,?
prevent disease, and promote health and well-being."
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**For Immediate Release:**
September 27, 2023
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*Local Data Shows that COVID-19 Continues to Significantly Impact People 65+; Updated COVID-19 Vaccination Recommended*
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With the start of fall, and the possibility of increases in circulating respiratory viruses, the Los Angeles County Department of Public Health (Public Health) recommends that everyone who is eligible receives the updated COVID-19 vaccine and flu vaccines, especially those who are at elevated risk for severe illness or death from a COVID and/or influenza infection.
Protection from the new COVID-19 vaccine has been shown in studies to provide a boost to the immune system and reduce severe illness for those infected; this protection will be beneficial through the fall and winter months when it is easier to get exposed to COVID-19 as many activities move indoors and there is increased travel and gatherings for the holidays.? ?
In each of the past three winters, we have seen a substantial increase in COVID cases, hospitalizations and tragically, deaths. Last winter, comparing Nov. 1 to Jan. 1, hospitalizations tripled and deaths quadrupled.
With COVID-19 rates also expected to rise this winter, it is especially important for people in groups that have experienced more illness severity to take advantage of the easy access to the updated COVID vaccines. In Los Angeles County, data shows that certain groups of people are more vulnerable for severe illness from COVID-19 and this continues to be true, especially for older people and Black and Brown residents.
While hospitalization and death rates have been lower this year compared to this time last year, there are still significant numbers of people who are hospitalized and who, tragically, pass away.
Over the 90-day period ending Sept. 4, the COVID hospitalization rate among people 65 and older was 10 times higher than the hospitalization rate among people younger than 65. Within the 65+ group, residents 80 and over are at particularly high risk, with a hospitalization rate that was more than double the rate for those ages 65-79. *?*For the same time period, the COVID death rate among people 65 and older was 30 times higher than the death rate among people younger than 65, again with residents 80+ at the highest risk.
Overall, looking at the past 90 days in Los Angeles County, people who were not vaccinated against COVID-19 were three times more likely to be hospitalized and four times more likely to die from COVID-19 than people who were vaccinated.
While the vaccine will benefit everyone, it is especially important for people with higher risk for poor outcomes if infected with COVID-19 to get the updated COVID-19 vaccine. Each day, more and more sites around Los Angeles County are receiving their doses and we expect that more than 1,000 unique vaccination sites in Los Angeles County will have the updated vaccine over the next few weeks. ?Of these sites, over 400 will offer vaccines under the U.S. Centers for Disease Control and Prevention (CDC) Bridge Access Program for people who are uninsured or underinsured, including at all Public Health vaccination sites. For people with health insurance plans, there should be no out-of-pocket costs although some residents may need to get vaccinated at a network provider site to avoid any costs.
A full list of vaccine sites can be found a ph.lacounty.gov/vaccines by clicking the links under the ?Get Vaccinated? section of the site.
For parents looking to get vaccine protection for their kids, there are 337 Vaccine for Children Sites active in the county, offering the COVID-19 vaccine for children, as well as other childhood vaccines, free of charge. Parents can visit bit.ly/VaccineForChildrenSites to find a location that is convenient for them.
Residents 6 months and older should receive at least one dose of the updated vaccine. To maximize protection, it is recommended that a person wait two months since their last dose if they have been recently vaccinated against COVID-19, and they can wait up to three months after a COVID infection. For children under 5 years old or people who are immunocompromised, Public Health recommends speaking to a provider about the most effective timing and dosing for the updated COVID-19 vaccine; multiple doses of the updated vaccine may be recommended.
Information is available seven days a week, from 8 a.m. to 8 p.m., from the Public Health Call Center at 1-833-540-0473. This free service is available to answer questions about COVID-19 and the updated vaccine. Callers can also get help finding sites with available vaccine, scheduling appointments or arranging a free homebound vaccine appointment.
In Los Angeles County, based on data through Sept. 16, the CDC Hospital Admission Level is 6.7, lower than the week before.
COVID-19 strains currently circulating in Los Angeles County are all descendants of the Omicron variant and more than 95 percent are descendants of the Omicron XBB strain. For the most recent two-week period ending Sept. 2,? EG.5 was the dominant strain, accounting for 31 percent of sequenced specimens. The second most dominant strain was XBB.1.16, accounting for 10 percent of sequenced specimens, followed by XBB.2.3, accounting for 9 percent of sequenced specimens.
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.
?
*Metric*
*Date of Weekly Report*
*?9/27/23*
*9/20/2023*
*9/13/2023*
*9/6/2023*
Daily average cases?
?382
475
558
569
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value
?30%
38%
33%
29%
Daily average of the percent of Emergency Department (ED) encounters classified as coronavirus-related
?3.9%
3.8%
4.9%
5.0%
Daily average number of COVID-positive hospitalizations
?542
588
620
561
Daily average deaths
?3.9
4.0
4.0
1.3
Percent of all deaths due to COVID-19
?3.3%
3.1%
2.4%
2.7%
All daily averages are 7-day averages. Data for past weeks are subject to change in future reports. Time periods covered by each metric: cases = week ending each Saturday; wastewater = week ending each Saturday, with a one-week lag; ED data = week ending each Sunday; hospitalizations = week ending each Saturday; deaths = week ending each Monday, with a three-week lag; death percentage = week ending Monday, with a one-week lag.?
Case data is presented by episode date, an approximation of the date the illness began, and death data is presented by date of death. This is a change from how case and death data were presented prior to July 26, 2023, which was by date of report. Daily average cases do not include Long Beach and Pasadena; daily average deaths include Long Beach and Pasadena. ?
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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] ]
* Centers for Disease Control and Prevention ? Spanish:
[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 9/25/2023
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*?*
*Total Cases*
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*Laboratory Confirmed Cases "(includes LB and Pas through 6/27/23; excludes LB and Pas after 6/27/23)"*
3,804,279
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*Deaths "(includes LB and Pas)"*
36,741
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*Cases by Age Group (Los Angeles County Cases Only-excl LB and Pas)*
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?
- 0 to 4
115,071
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- 5 to 11
284,680
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- 12 to 17
279,493
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- 18 to 29
766,782
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- 30 to 49
1,150,731
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- 50 to 64
626,906
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- 65 to 79
274,684
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-? over 80
98,341
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-? Under Investigation
2,598
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*Cases by Gender (Los Angeles County Cases Only-excl LB and Pas)*
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?
-? Female
1,860,536
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-? Male
1,647,422
?
-? Other
1,877
?
-? Under Investigation
89,451
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*Cases by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? American Indian/Alaska Native
6,837
?
-? Asian
269,119
?
-? Black
191,198
?
-? Hispanic/Latino
1,532,398
?
-? Native Hawaiian/Pacific Islander
17,994
?
-? White
502,243
?
-? Other
415,521
?
-? Under Investigation
663,976
?
*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
?
?
-? Hospitalized (Ever)
185,911
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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
82
?
-? Asian
4,575
?
-? Black
3,278
?
-? Hispanic/Latino
16,955
?
-? Native Hawaiian/Pacific Islander
115
?
-? White
9,308
?
-? Other
444
?
-? Under Investigation
97
?
*CITY / COMMUNITY***
*Cases*
*Case Rate*
City of Agoura Hills
6462
30944
City of Alhambra
25991
29970
City of Arcadia
14013
24263
City of Artesia
6166
36713
City of Avalon
293
7573
City of Azusa
17759
35490
City of Baldwin Park
30103
39212
City of Bell
17185
47300
City of Bell Gardens
17359
40303
City of Bellflower
31306
40273
City of Beverly Hills
11792
34160
City of Bradbury
71
6642
City of Burbank
33441
31201
City of Calabasas
6000
24668
City of Carson
35683
38023
City of Cerritos
13703
27369
City of Claremont
10560
28944
City of Commerce*
5934
45405
City of Compton
40949
40988
City of Covina
20632
42079
City of Cudahy
12324
50618
City of Culver City
12254
30739
City of Diamond Bar
13946
24248
City of Downey
47445
41523
City of Duarte
7621
34616
City of El Monte
43400
37009
City of El Segundo
4178
24890
City of Gardena
22356
36464
City of Glendale
61352
29711
City of Glendora
15406
29198
City of Hawaiian Gardens
5087
34662
City of Hawthorne
30228
34046
City of Hermosa Beach
4833
24570
City of Hidden Hills
394
20847
City of Huntington Park
26608
44731
City of Industry
1040
237986
City of Inglewood
39508
34784
City of Irwindale
901
61755
City of La Canada Flintridge
4664
22539
City of La Habra Heights
215
3941
City of La Mirada
14515
29265
City of La Puente
16183
39765
City of La Verne
9399
28240
City of Lakewood
27653
34411
City of Lancaster*
65238
40378
City of Lawndale
10790
32100
City of Lomita
6238
30093
City of Lynwood*
31755
44075
City of Malibu
2941
22691
City of Manhattan Beach
7610
21139
City of Maywood
12962
46212
City of Monrovia
12056
31072
City of Montebello
25833
40129
City of Monterey Park
17855
28677
City of Norwalk
43684
40590
City of Palmdale
67863
42690
City of Palos Verdes Estates
2334
17261
City of Paramount
23032
41112
City of Pico Rivera
28468
44285
City of Pomona
66564
42688
City of Rancho Palos Verdes
8033
18792
City of Redondo Beach
16000
23291
City of Rolling Hills
303
15619
City of Rolling Hills Estates
1591
19611
City of Rosemead
15491
27987
City of San Dimas*
11281
32683
City of San Fernando
12943
52588
City of San Gabriel
11695
28556
City of San Marino
2476
18649
City of Santa Clarita
75083
34063
City of Santa Fe Springs
7998
43553
City of Santa Monica
27169
29389
City of Sierra Madre
2479
22559
City of Signal Hill
4180
35433
City of South El Monte
8531
40847
City of South Gate
47741
48638
City of South Pasadena
6459
24792
City of Temple City
10938
30004
City of Torrance
35326
23666
City of Vernon
361
172727
City of Walnut
7719
25282
City of West Covina
40216
37156
City of West Hollywood
11483
31076
City of Westlake Village
458
5478
City of Whittier
31760
36325
Los Angeles
1553431
38407
Los Angeles - Adams-Normandie
3255
39685
Los Angeles - Alsace
4619
37115
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
853
34093
Los Angeles - Arleta
17120
49811
Los Angeles - Atwater Village
5172
35265
Los Angeles - Baldwin Hills
10472
33645
Los Angeles - Bel Air
2514
29826
Los Angeles - Beverly Crest
3406
27194
Los Angeles - Beverlywood
4298
32627
Los Angeles - Boyle Heights*
40978
47164
Los Angeles - Brentwood
8606
27802
Los Angeles - Brookside
158
27194
Los Angeles - Cadillac-Corning
2334
32776
Los Angeles - Canoga Park
25779
39484
Los Angeles - Carthay
4505
31365
Los Angeles - Central
17187
44078
Los Angeles - Century City
3854
30128
Los Angeles - Century Palms/Cove
16551
49017
Los Angeles - Chatsworth
13229
35695
Los Angeles - Cheviot Hills
2616
28525
Los Angeles - Chinatown
3011
37539
Los Angeles - Cloverdale/Cochran
5419
37236
Los Angeles - Country Club Park
4980
32865
Los Angeles - Crenshaw District
5465
39518
Los Angeles - Crestview
4060
35714
Los Angeles - Del Rey
8655
28912
Los Angeles - Downtown*
16431
59734
Los Angeles - Eagle Rock
14057
35507
Los Angeles - East Hollywood
9730
33223
Los Angeles - Echo Park
4570
32057
Los Angeles - El Sereno
17174
41078
Los Angeles - Elysian Park
1867
32686
Los Angeles - Elysian Valley
3625
35641
Los Angeles - Encino
15560
34446
Los Angeles - Exposition
1312
39447
Los Angeles - Exposition Park
18490
41165
Los Angeles - Faircrest Heights
1293
35917
Los Angeles - Figueroa Park Square
3854
44192
Los Angeles - Florence-Firestone
23155
48804
Los Angeles - Glassell Park
11182
35382
Los Angeles - Gramercy Place
4263
39604
Los Angeles - Granada Hills
21991
37791
Los Angeles - Green Meadows
10242
47626
Los Angeles - Hancock Park
4834
28370
Los Angeles - Harbor City
9616
33079
Los Angeles - Harbor Gateway
16016
36734
Los Angeles - Harbor Pines
658
27314
Los Angeles - Harvard Heights
6237
34583
Los Angeles - Harvard Park
18324
48304
Los Angeles - Highland Park
17501
36166
Los Angeles - Historic Filipinotown
5591
40310
Los Angeles - Hollywood
22075
32342
Los Angeles - Hollywood Hills
7828
26595
Los Angeles - Hyde Park
12193
42721
Los Angeles - Jefferson Park
3208
39737
Los Angeles - Koreatown
16472
31865
Los Angeles - Lafayette Square
1625
35644
Los Angeles - Lake Balboa
16590
39307
Los Angeles - Lakeview Terrace
6231
47445
Los Angeles - Leimert Park
5899
38720
Los Angeles - Lincoln Heights
13001
39884
Los Angeles - Little Armenia
3094
38555
Los Angeles - Little Bangladesh
8781
30981
Los Angeles - Little Tokyo
1533
48931
Los Angeles - Longwood
1827
42449
Los Angeles - Los Feliz
6530
30220
Los Angeles - Manchester Square
3327
38976
Los Angeles - Mandeville Canyon
926
29641
Los Angeles - Mar Vista
11238
26460
Los Angeles - Marina Peninsula
985
22592
Los Angeles - Melrose
26715
34384
Los Angeles - Mid-city
4590
30539
Los Angeles - Miracle Mile
5038
28012
Los Angeles - Mission Hills
12145
50344
Los Angeles - Mt. Washington
8363
34637
Los Angeles - North Hills
25809
41915
Los Angeles - North Hollywood
60074
39673
Los Angeles - Northridge
26148
37463
Los Angeles - Pacific Palisades
5160
24236
Los Angeles - Pacoima
39355
51124
Los Angeles - Palisades Highlands
949
24675
Los Angeles - Palms
12390
28238
Los Angeles - Panorama City
34050
45249
Los Angeles - Park La Brea
3315
24411
Los Angeles - Pico-Union
16602
39678
Los Angeles - Playa Del Rey
621
19431
Los Angeles - Playa Vista
3528
32228
Los Angeles - Porter Ranch
10824
30415
Los Angeles - Rancho Park
2305
35137
Los Angeles - Regent Square
894
32158
Los Angeles - Reseda
32775
42778
Los Angeles - Reseda Ranch
1836
39603
Los Angeles - Reynier Village
1202
28430
Los Angeles - San Pedro*
26793
34333
Los Angeles - Shadow Hills
1340
30167
Los Angeles - Sherman Oaks
28351
32492
Los Angeles - Silverlake
13531
30694
Los Angeles - South Carthay
3374
31845
Los Angeles - South Park
17075
44980
Los Angeles - St Elmo Village
1900
41449
Los Angeles - Studio City
7198
32077
Los Angeles - Sun Valley
23587
44942
Los Angeles - Sunland
7051
34550
Los Angeles - Sycamore Square
212
32767
Los Angeles - Sylmar*
42893
52056
Los Angeles - Tarzana
10779
34911
Los Angeles - Temple-Beaudry
13706
34715
Los Angeles - Thai Town
2860
29157
Los Angeles - Toluca Lake
2618
30078
Los Angeles - Toluca Terrace
537
41118
Los Angeles - Toluca Woods
495
26642
Los Angeles - Tujunga
9160
32938
Los Angeles - University Hills
945
27559
Los Angeles - University Park
11744
42774
Los Angeles - Valley Glen
11420
38046
Los Angeles - Valley Village
8733
35328
Los Angeles - Van Nuys*
38340
41140
Los Angeles - Venice
9335
27549
Los Angeles - Vermont Knolls
7643
44436
Los Angeles - Vermont Square
3808
49732
Los Angeles - Vermont Vista
19019
46178
Los Angeles - Vernon Central
24977
48035
Los Angeles - Victoria Park
2864
34099
Los Angeles - View Heights
1143
30942
Los Angeles - Watts
19993
46851
Los Angeles - Wellington Square
1879
38230
Los Angeles - West Adams
11145
40337
Los Angeles - West Hills
13262
32709
Los Angeles - West Los Angeles
11964
31789
Los Angeles - West Vernon
25091
46773
Los Angeles - Westchester
14245
27605
Los Angeles - Westlake
21241
35786
Los Angeles - Westwood
17086
31577
Los Angeles - Wholesale District*
22682
62781
Los Angeles - Wilmington
24086
42640
Los Angeles - Wilshire Center
17387
34656
Los Angeles - Winnetka
20353
39302
Los Angeles - Woodland Hills
21174
31113
Unincorporated - Acton
2058
25819
Unincorporated - Agua Dulce
1017
24459
Unincorporated - Altadena
12049
27623
Unincorporated - Anaverde
426
28249
Unincorporated - Angeles National Forest
94
7550
Unincorporated - Arcadia
2317
29031
Unincorporated - Athens-Westmont
2864
58485
Unincorporated - Athens Village
17934
42255
Unincorporated - Avocado Heights
2765
40812
Unincorporated - Azusa
6458
40558
Unincorporated - Bassett
6319
42647
Unincorporated - Bouquet Canyon
211
19664
Unincorporated - Bradbury
137
126852
Unincorporated - Canyon Country
3851
49832
Unincorporated - Castaic*
9910
36446
Unincorporated - Cerritos
193
32879
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
160
22792
Unincorporated - Covina
6383
37951
Unincorporated - Covina (Charter Oak)
5143
39128
Unincorporated - Del Aire
1247
28386
Unincorporated - Del Rey
150
47170
Unincorporated - Del Sur
714
29565
Unincorporated - Desert View Highlands
981
39350
Unincorporated - Duarte
2049
46274
Unincorporated - East Covina
92
27964
Unincorporated - East La Mirada
1674
31633
Unincorporated - East Lancaster
44
38596
Unincorporated - East Los Angeles
59439
47449
Unincorporated - East Pasadena
434
6778
Unincorporated - East Rancho Dominguez
6452
42148
Unincorporated - East Whittier
1463
27573
Unincorporated - El Camino Village
2817
32044
Unincorporated - El Monte
1
690
Unincorporated - Elizabeth Lake
293
17640
Unincorporated - Florence-Firestone
30782
47573
Unincorporated - Franklin Canyon
2
16667
Unincorporated - Glendora
202
30606
Unincorporated - Hacienda Heights
16854
30136
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
778
30947
Unincorporated - Hi Vista
175
15938
Unincorporated - Kagel/Lopez Canyons
329
23300
Unincorporated - La Crescenta-Montrose
4584
23150
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
964
46458
Unincorporated - La Verne*
671
32892
Unincorporated - Ladera Heights
2152
30434
Unincorporated - Lake Hughes
208
31138
Unincorporated - Lake Los Angeles
4136
31830
Unincorporated - Lake Manor
479
29154
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7800
34602
Unincorporated - Leona Valley
317
18104
Unincorporated - Littlerock
1442
35862
Unincorporated - Littlerock/Juniper Hills
368
28373
Unincorporated - Littlerock/Pearblossom
1343
37630
Unincorporated - Llano
110
12543
Unincorporated - Marina del Rey
2808
29837
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1152
29683
Unincorporated - Newhall
107
48636
Unincorporated - North Lancaster
516
43072
Unincorporated - North Whittier
3208
38373
Unincorporated - Northeast San Gabriel
5437
22620
Unincorporated - Padua Hills
38
17674
Unincorporated - Palmdale
272
32304
Unincorporated - Palos Verdes Peninsula
132
21256
Unincorporated - Pearblossom/Llano
440
22495
Unincorporated - Pellissier Village
380
61389
Unincorporated - Placerita Canyon
24
5217
Unincorporated - Pomona
128
6605
Unincorporated - Quartz Hill
3970
30761
Unincorporated - Rancho Dominguez
1242
46674
Unincorporated - Roosevelt
285
30612
Unincorporated - Rosewood
521
40513
Unincorporated - Rosewood/East Gardena
559
46857
Unincorporated - Rosewood/West Rancho Dominguez
1382
41119
Unincorporated - Rowland Heights
12708
24907
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
44
5128
Unincorporated - San Jose Hills
8060
39860
Unincorporated - San Pasqual
91
4472
Unincorporated - Sand Canyon
63
20455
Unincorporated - Santa Catalina Island
597
223596
Unincorporated - Santa Monica Mountains*
4025
21615
Unincorporated - Saugus
353
227742
Unincorporated - Saugus/Canyon Country
149
41854
Unincorporated - South Antelope Valley
124
27253
Unincorporated - South El Monte
769
42841
Unincorporated - South San Gabriel
3280
37071
Unincorporated - South Whittier
21979
37113
Unincorporated - Southeast Antelope Valley
257
32907
Unincorporated - Stevenson Ranch
6145
29309
Unincorporated - Sun Village
2175
36034
Unincorporated - Sunrise Village
603
46528
Unincorporated - Twin Lakes/Oat Mountain
447
26960
Unincorporated - Val Verde
1240
37474
Unincorporated - Valencia
960
31250
Unincorporated - Valinda
9820
42018
Unincorporated - View Park/Windsor Hills
3725
32015
Unincorporated - Walnut Park
7542
46720
Unincorporated - West Antelope Valley
195
12905
Unincorporated - West Carson
8586
38875
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
934
98109
Unincorporated - West Puente Valley
4322
43945
Unincorporated - West Rancho Dominguez
508
37380
Unincorporated - West Whittier/Los Nietos
10934
40609
Unincorporated - Westfield/Academy Hills
262
20154
Unincorporated - Westhills
208
24791
Unincorporated - White Fence Farms
946
25686
Unincorporated - Whittier
1022
27008
Unincorporated - Whittier Narrows
77
641667
Unincorporated - Willowbrook
17021
48753
Unincorporated - Wiseburn
1950
32354
?- Under Investigation
73073
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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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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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