news release DPH
**For Immediate Release:**
December 14, 2023
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*As COVID-19 Transmission Indicators Increase, *
*Common-Sense Precautions offer Important Protection *
*from Exposures, Transmission and Severe Illness *
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Three weeks after Thanksgiving, Los Angeles County is seeing an increase in indicators of COVID-19 transmission. With cases rising, new variant strains emerging, and the ongoing risk of Long COVID, residents may want to consider taking common sense precautions to limit exposures, transmission and severe illness. This includes wearing a high-filtration mask in high-risk situations, testing when symptomatic, remaining home when sick, and importantly, getting the updated COVID-19 vaccine soon.
This week, the Los Angeles County Department of Public Health (Public Health) is reporting a daily average of 430 new COVID-19 cases per day, 50 more daily cases than reported last week. Due to home tests, the results from which are not reported to Public Health, this is an undercount of the actual number of cases in the community.
Wastewater testing for concentrations of SARS-CoV-2, the virus that causes COVID-19, provides a more comprehensive picture of COVID transmission in Los Angeles County. This week, Public Health is reporting wastewater concentrations that are 38 percent of those seen last year at the peak of the winter surge. This is up from 28 percent reported last week and 12 percent reported one month ago on Nov. 15.
COVID-positive hospitalizations have also increased this past week from 462 last week to 524 this current reporting period.?
Holiday gatherings, more travel and increased time spent indoors are all factors likely contributing to transmission increases. Protection against COVID-19 from previous infections and vaccines wanes over time and for this reason, the updated COVID-19 vaccine for 2023-24 is recommended for everyone ages 6 months or older, regardless of prior vaccinations or infections.
The CDC issued a Health Advisory [ [link removed] ] recommending that health care providers administer influenza (flu), COVID-19 and RSV immunizations now, if recommended, given low vaccination rates coupled with ongoing increases in national and international respiratory disease activity. The Los Angeles County Department of Public Health echoes this recommendation.
In addition to protection against severe illness and hospitalization, the COVID vaccine can also protect against Long COVID. Results from a recent survey conducted by the U.S. Census Bureau, in collaboration with the National Center for Health Statistics, show that among people in California who have had a COVID-19 infection, more than one in five have had Long COVID, symptoms lasting for three months or longer. Research studies show that COVID-19 vaccination can provide protection against Long COVID.
In Los Angeles County, the proportion of cases that different strains account for has shifted over recent weeks, signaling that COVID-19 is continuing to evolve with new strains gaining dominance. The updated vaccine is formulated to provide protection for Omicron XBB strains, which are circulating now. Currently, in Los Angeles County, for specimens collected the two-week period ending Nov. 11, strains descended from XBB accounted for 95 percent of sequenced specimens. HV.1 accounted for the highest proportion, at 27 percent, followed by EG.5 at 18 percent.
As a comparison, for specimens collected during the same period in 2022, less than 5 percent of specimens were descendants of Omicron XBB. In many cases, the strains that were dominant when a person was vaccinated or infected in the past may no longer be widely circulating. The updated vaccine can renew protection against severe illness and hospitalization and ensure a person has the most needed protection this winter.
Since early November, COVID-19 hospitalizations in Los Angeles County have been steadily increasing. For the most recent week, based on data through Dec. 2, the CDC is reporting 6.3 new COVID-19 hospitalizations per 100,000 people, compared to 4.8 the week prior. The daily average of the percent of Emergency Department encounters classified as coronavirus-related is 4 percent compared to 3 percent one month ago.
The winter respiratory virus season brings the potential to stress local health care systems if transmission of COVID-19, flu and RSV all continue to increase, especially if health care workers are infected and unable to work. The updated COVID-19 vaccine, along with flu, and for those eligible, RSV vaccines, can help to lower this burden. A recent CDC advisory sent to providers urges conversations with patients on getting vaccinated, tested, and using therapeutics.
The flu vaccine, which can be administered at the same time as the COVID-19 vaccine, is recommended for people 6 months and older. People who are 60 and older should speak with their health care provider about an RSV vaccine. RSV vaccination is also recommended for people who are between 32 and 36 weeks pregnant, and RSV immunizations are available for infants under 8 months old.
If Los Angeles County residents have questions about vaccines, such as where to get vaccinated or how to get tested, the Public Health Call Center remains open seven days a week from 8 a.m. to 8 p.m. at 1-833-540-0473. Public Health staff can connect callers with resources and help people schedule vaccination appointments, including in-home vaccinations for those that are homebound. The Public Health Call Center can also be used to access free telehealth services for COVID-19, including a no-cost prescription for Paxlovid, an anti-viral medication to treat COVID-19, if eligible.
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. ?
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*Metric*
*Date of Weekly Report*
*12/13/2023*
*12/6/2023*
*11/29/2023*
*11/22/2023*
Daily average cases
430
380
249
275
SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value
38%
28%
24%
13%
Daily average of the percent of Emergency Department (ED) encounters classified as coronavirus-related
4.0%
3.7%
3.3%
3.6%
Daily average number of COVID-positive hospitalizations
524
462
404
362
Daily average deaths
2.1
1.9
1.6
2.7
Percent of all deaths due to COVID-19
3.0%
2.6%
1.7%
1.3%
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 for all weeks except 11/29. Long Beach and Pasadena are not included in the daily average death count for 11/29 because data was not available from CDPH due to the Thanksgiving holiday.??
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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 [ [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 12/11/2023
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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)"*
3,832,772
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*Deaths "(includes LB and Pas)"*
37,041
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*Cases by Age Group (Los Angeles County Cases Only-excl LB and Pas)*
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- 0 to 4
116,666
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- 5 to 11
285,229
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- 12 to 17
280,154
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- 18 to 29
770,102
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- 30 to 49
1,157,377
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- 50 to 64
632,924
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- 65 to 79
280,614
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-? over 80
102,082
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-? Under Investigation
2,631
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*Cases by Gender (Los Angeles County Cases Only-excl LB and Pas)*
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-? Female
1,876,474
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-? Male
1,659,717
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-? Other
1,914
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-? Under Investigation
89,674
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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
6,898
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-? Asian
271,942
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-? Black
193,522
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-? Hispanic/Latino
1,540,718
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-? Native Hawaiian/Pacific Islander
18,119
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-? White
508,232
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-? Other
419,517
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-? Under Investigation
668,831
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*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*
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-? Hospitalized (Ever)
190,139
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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
83
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-? Asian
4,621
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-? Black
3,294
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-? Hispanic/Latino
17,028
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-? Native Hawaiian/Pacific Islander
114
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-? White
9,412
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-? Other
479
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-? Under Investigation
110
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*CITY / COMMUNITY***
*Cases*
*Case Rate*
City of Agoura Hills
6513
31188
City of Alhambra
26289
30313
City of Arcadia
14154
24507
City of Artesia
6217
37017
City of Avalon
298
7702
City of Azusa
17865
35701
City of Baldwin Park
30306
39477
City of Bell
17250
47479
City of Bell Gardens
17420
40445
City of Bellflower
31486
40504
City of Beverly Hills
11933
34568
City of Bradbury
71
6642
City of Burbank
33805
31540
City of Calabasas
6084
25013
City of Carson
36007
38368
City of Cerritos
13858
27679
City of Claremont
10676
29262
City of Commerce*
5964
45635
City of Compton
41167
41207
City of Covina
20797
42415
City of Cudahy
12373
50819
City of Culver City
12393
31087
City of Diamond Bar
14070
24463
City of Downey
47703
41748
City of Duarte
7689
34925
City of El Monte
43674
37243
City of El Segundo
4213
25098
City of Gardena
22612
36881
City of Glendale
61884
29969
City of Glendora
15564
29497
City of Hawaiian Gardens
5123
34907
City of Hawthorne
30452
34298
City of Hermosa Beach
4883
24825
City of Hidden Hills
394
20847
City of Huntington Park
26691
44871
City of Industry
1059
242334
City of Inglewood
39818
35057
City of Irwindale
904
61960
City of La Canada Flintridge
4730
22858
City of La Habra Heights
215
3941
City of La Mirada
14645
29527
City of La Puente
16267
39971
City of La Verne
9477
28475
City of Lakewood
27859
34667
City of Lancaster*
65831
40745
City of Lawndale
10873
32347
City of Lomita
6314
30460
City of Lynwood*
31922
44307
City of Malibu
2974
22946
City of Manhattan Beach
7701
21392
City of Maywood
13087
46658
City of Monrovia
12195
31430
City of Montebello
26012
40407
City of Monterey Park
18051
28992
City of Norwalk
43973
40859
City of Palmdale
68325
42980
City of Palos Verdes Estates
2367
17505
City of Paramount
23124
41276
City of Pico Rivera
28643
44557
City of Pomona
66990
42961
City of Rancho Palos Verdes
8164
19098
City of Redondo Beach
16216
23605
City of Rolling Hills
309
15928
City of Rolling Hills Estates
1630
20091
City of Rosemead
15634
28246
City of San Dimas*
11377
32962
City of San Fernando
13029
52938
City of San Gabriel
11960
29203
City of San Marino
2519
18973
City of Santa Clarita
75992
34475
City of Santa Fe Springs
8029
43721
City of Santa Monica
27572
29825
City of Sierra Madre
2524
22968
City of Signal Hill
4208
35670
City of South El Monte
8582
41092
City of South Gate
47932
48833
City of South Pasadena
6536
25087
City of Temple City
11039
30281
City of Torrance
35818
23996
City of Vernon
361
172727
City of Walnut
7776
25468
City of West Covina
40549
37464
City of West Hollywood
11601
31396
City of Westlake Village
459
5490
City of Whittier
31937
36528
Los Angeles
1564904
38691
Los Angeles - Adams-Normandie
3270
39868
Los Angeles - Alsace
4647
37340
Los Angeles - Angeles National Forest
0
0
Los Angeles - Angelino Heights
857
34253
Los Angeles - Arleta
17237
50151
Los Angeles - Atwater Village
5208
35511
Los Angeles - Baldwin Hills
10592
34031
Los Angeles - Bel Air
2540
30134
Los Angeles - Beverly Crest
3434
27417
Los Angeles - Beverlywood
4334
32901
Los Angeles - Boyle Heights*
41153
47365
Los Angeles - Brentwood
8713
28147
Los Angeles - Brookside
158
27194
Los Angeles - Cadillac-Corning
2351
33015
Los Angeles - Canoga Park
25957
39757
Los Angeles - Carthay
4550
31679
Los Angeles - Central
17237
44207
Los Angeles - Century City
3904
30519
Los Angeles - Century Palms/Cove
16648
49304
Los Angeles - Chatsworth
13366
36065
Los Angeles - Cheviot Hills
2645
28841
Los Angeles - Chinatown
3036
37851
Los Angeles - Cloverdale/Cochran
5448
37436
Los Angeles - Country Club Park
5018
33116
Los Angeles - Crenshaw District
5519
39909
Los Angeles - Crestview
4089
35969
Los Angeles - Del Rey
8746
29216
Los Angeles - Downtown*
16525
60076
Los Angeles - Eagle Rock
14186
35833
Los Angeles - East Hollywood
9791
33431
Los Angeles - Echo Park
4594
32225
Los Angeles - El Sereno
17273
41315
Los Angeles - Elysian Park
1878
32878
Los Angeles - Elysian Valley
3644
35827
Los Angeles - Encino
15696
34747
Los Angeles - Exposition
1322
39747
Los Angeles - Exposition Park
18560
41321
Los Angeles - Faircrest Heights
1300
36111
Los Angeles - Figueroa Park Square
3884
44536
Los Angeles - Florence-Firestone
23226
48954
Los Angeles - Glassell Park
11266
35647
Los Angeles - Gramercy Place
4314
40078
Los Angeles - Granada Hills
22243
38224
Los Angeles - Green Meadows
10293
47863
Los Angeles - Hancock Park
4862
28535
Los Angeles - Harbor City
9708
33395
Los Angeles - Harbor Gateway
16130
36995
Los Angeles - Harbor Pines
663
27522
Los Angeles - Harvard Heights
6276
34799
Los Angeles - Harvard Park
18409
48528
Los Angeles - Highland Park
17631
36434
Los Angeles - Historic Filipinotown
5613
40469
Los Angeles - Hollywood
22238
32581
Los Angeles - Hollywood Hills
7885
26789
Los Angeles - Hyde Park
12302
43103
Los Angeles - Jefferson Park
3228
39985
Los Angeles - Koreatown
16556
32028
Los Angeles - Lafayette Square
1635
35863
Los Angeles - Lake Balboa
16706
39582
Los Angeles - Lakeview Terrace
6326
48169
Los Angeles - Leimert Park
5944
39015
Los Angeles - Lincoln Heights
13066
40083
Los Angeles - Little Armenia
3117
38841
Los Angeles - Little Bangladesh
8833
31165
Los Angeles - Little Tokyo
1540
49154
Los Angeles - Longwood
1842
42797
Los Angeles - Los Feliz
6593
30512
Los Angeles - Manchester Square
3349
39234
Los Angeles - Mandeville Canyon
940
30090
Los Angeles - Mar Vista
11393
26825
Los Angeles - Marina Peninsula
995
22821
Los Angeles - Melrose
26898
34620
Los Angeles - Mid-city
4628
30792
Los Angeles - Miracle Mile
5091
28307
Los Angeles - Mission Hills
12258
50812
Los Angeles - Mt. Washington
8412
34840
Los Angeles - North Hills
26012
42244
Los Angeles - North Hollywood
60535
39978
Los Angeles - Northridge
26391
37811
Los Angeles - Pacific Palisades
5231
24569
Los Angeles - Pacoima
39578
51414
Los Angeles - Palisades Highlands
965
25091
Los Angeles - Palms
12524
28543
Los Angeles - Panorama City
34340
45635
Los Angeles - Park La Brea
3341
24602
Los Angeles - Pico-Union
16669
39838
Los Angeles - Playa Del Rey
629
19681
Los Angeles - Playa Vista
3569
32603
Los Angeles - Porter Ranch
10964
30808
Los Angeles - Rancho Park
2337
35625
Los Angeles - Regent Square
906
32590
Los Angeles - Reseda
33050
43137
Los Angeles - Reseda Ranch
1850
39905
Los Angeles - Reynier Village
1213
28690
Los Angeles - San Pedro*
27036
34645
Los Angeles - Shadow Hills
1351
30414
Los Angeles - Sherman Oaks
28621
32802
Los Angeles - Silverlake
13629
30917
Los Angeles - South Carthay
3402
32109
Los Angeles - South Park
17125
45112
Los Angeles - St Elmo Village
1910
41667
Los Angeles - Studio City
7270
32398
Los Angeles - Sun Valley
23730
45215
Los Angeles - Sunland
7105
34815
Los Angeles - Sycamore Square
214
33076
Los Angeles - Sylmar*
43192
52419
Los Angeles - Tarzana
10931
35403
Los Angeles - Temple-Beaudry
13762
34856
Los Angeles - Thai Town
2872
29279
Los Angeles - Toluca Lake
2631
30227
Los Angeles - Toluca Terrace
543
41577
Los Angeles - Toluca Woods
501
26964
Los Angeles - Tujunga
9242
33233
Los Angeles - University Hills
952
27763
Los Angeles - University Park
11784
42920
Los Angeles - Valley Glen
11488
38273
Los Angeles - Valley Village
8805
35619
Los Angeles - Van Nuys*
38596
41415
Los Angeles - Venice
9411
27773
Los Angeles - Vermont Knolls
7708
44814
Los Angeles - Vermont Square
3824
49941
Los Angeles - Vermont Vista
19113
46407
Los Angeles - Vernon Central
25051
48177
Los Angeles - Victoria Park
2882
34314
Los Angeles - View Heights
1159
31375
Los Angeles - Watts
20082
47059
Los Angeles - Wellington Square
1886
38372
Los Angeles - West Adams
11224
40623
Los Angeles - West Hills
13413
33082
Los Angeles - West Los Angeles
12113
32185
Los Angeles - West Vernon
25207
46989
Los Angeles - Westchester
14382
27870
Los Angeles - Westlake
21361
35989
Los Angeles - Westwood
17299
31971
Los Angeles - Wholesale District*
22815
63149
Los Angeles - Wilmington
24218
42874
Los Angeles - Wilshire Center
17455
34792
Los Angeles - Winnetka
20541
39665
Los Angeles - Woodland Hills
21405
31453
Unincorporated - Acton
2094
26270
Unincorporated - Agua Dulce
1028
24723
Unincorporated - Altadena
12196
27960
Unincorporated - Anaverde
428
28382
Unincorporated - Angeles National Forest
94
7550
Unincorporated - Arcadia
2343
29357
Unincorporated - Athens Village
2874
58689
Unincorporated - Athens-Westmont
18058
42547
Unincorporated - Avocado Heights
2784
41092
Unincorporated - Azusa
6493
40777
Unincorporated - Bassett
6349
42849
Unincorporated - Bouquet Canyon
216
20130
Unincorporated - Bradbury
149
137963
Unincorporated - Canyon Country
3902
50492
Unincorporated - Castaic*
10032
36895
Unincorporated - Cerritos
193
32879
Unincorporated - Charter Oak
10
50000
Unincorporated - Claremont
161
22934
Unincorporated - Covina
6430
38231
Unincorporated - Covina (Charter Oak)
5168
39318
Unincorporated - Del Aire
1260
28682
Unincorporated - Del Rey
151
47484
Unincorporated - Del Sur
717
29689
Unincorporated - Desert View Highlands
992
39791
Unincorporated - Duarte
2065
46635
Unincorporated - East Covina
92
27964
Unincorporated - East La Mirada
1687
31878
Unincorporated - East Lancaster
45
39474
Unincorporated - East Los Angeles
59701
47658
Unincorporated - East Pasadena
438
6841
Unincorporated - East Rancho Dominguez
6471
42272
Unincorporated - East Whittier
1480
27893
Unincorporated - El Camino Village
2842
32329
Unincorporated - El Monte
1
690
Unincorporated - Elizabeth Lake
297
17881
Unincorporated - Florence-Firestone
30889
47738
Unincorporated - Franklin Canyon
2
16667
Unincorporated - Glendora
202
30606
Unincorporated - Hacienda Heights
16950
30308
Unincorporated - Harbor Gateway
4
400000
Unincorporated - Hawthorne
780
31026
Unincorporated - Hi Vista
175
15938
Unincorporated - Kagel/Lopez Canyons
334
23654
Unincorporated - La Crescenta-Montrose
4640
23433
Unincorporated - La Habra Heights
21
3107
Unincorporated - La Rambla
980
47229
Unincorporated - La Verne*
672
32941
Unincorporated - Ladera Heights
2181
30844
Unincorporated - Lake Hughes
208
31138
Unincorporated - Lake Los Angeles
4171
32099
Unincorporated - Lake Manor
480
29215
Unincorporated - Lakewood
28
24561
Unincorporated - Lennox
7847
34811
Unincorporated - Leona Valley
319
18218
Unincorporated - Littlerock
1451
36086
Unincorporated - Littlerock/Juniper Hills
370
28527
Unincorporated - Littlerock/Pearblossom
1351
37854
Unincorporated - Llano
112
12771
Unincorporated - Marina del Rey
2846
30241
Unincorporated - Miracle Mile
0
0
Unincorporated - Monrovia
1161
29915
Unincorporated - Newhall
109
49545
Unincorporated - North Lancaster
517
43155
Unincorporated - North Whittier
3232
38660
Unincorporated - Northeast San Gabriel
5504
22899
Unincorporated - Padua Hills
38
17674
Unincorporated - Palmdale
273
32423
Unincorporated - Palos Verdes Peninsula
135
21739
Unincorporated - Pearblossom/Llano
444
22699
Unincorporated - Pellissier Village
381
61551
Unincorporated - Placerita Canyon
25
5435
Unincorporated - Pomona
129
6656
Unincorporated - Quartz Hill
4008
31055
Unincorporated - Rancho Dominguez
1258
47275
Unincorporated - Roosevelt
288
30934
Unincorporated - Rosewood
526
40902
Unincorporated - Rosewood/East Gardena
563
47192
Unincorporated - Rosewood/West Rancho Dominguez
1393
41446
Unincorporated - Rowland Heights
12832
25150
Unincorporated - San Clemente Island
0
0
Unincorporated - San Francisquito Canyon/Bouquet Canyon
46
5361
Unincorporated - San Jose Hills
8090
40008
Unincorporated - San Pasqual
91
4472
Unincorporated - Sand Canyon
64
20779
Unincorporated - Santa Catalina Island
597
223596
Unincorporated - Santa Monica Mountains*
4076
21889
Unincorporated - Saugus
356
229677
Unincorporated - Saugus/Canyon Country
152
42697
Unincorporated - South Antelope Valley
126
27692
Unincorporated - South El Monte
775
43175
Unincorporated - South San Gabriel
3362
37997
Unincorporated - South Whittier
22067
37261
Unincorporated - Southeast Antelope Valley
260
33291
Unincorporated - Stevenson Ranch
6237
29748
Unincorporated - Sun Village
2190
36282
Unincorporated - Sunrise Village
606
46759
Unincorporated - Twin Lakes/Oat Mountain
454
27382
Unincorporated - Val Verde
1257
37987
Unincorporated - Valencia
978
31836
Unincorporated - Valinda
9869
42228
Unincorporated - View Park/Windsor Hills
3769
32394
Unincorporated - Walnut Park
7566
46869
Unincorporated - West Antelope Valley
199
13170
Unincorporated - West Carson
8708
39428
Unincorporated - West Chatsworth
5
41667
Unincorporated - West LA
960
100840
Unincorporated - West Puente Valley
4345
44179
Unincorporated - West Rancho Dominguez
514
37822
Unincorporated - West Whittier/Los Nietos
10988
40810
Unincorporated - Westfield/Academy Hills
267
20538
Unincorporated - Westhills
208
24791
Unincorporated - White Fence Farms
958
26011
Unincorporated - Whittier
1028
27167
Unincorporated - Whittier Narrows
78
650000
Unincorporated - Willowbrook
17127
49056
Unincorporated - Wiseburn
1980
32852
?- Under Investigation
74305
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*? --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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