As COVID-19 Transmission Indicators Increase,

Common-Sense Precautions offer Important Protection

from Exposures, Transmission and Severe Illness

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 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. ?

Metric	Date of Weekly Report
Metric	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.?? ?

A wide range of data and dashboards on COVID-19 from the Los Angeles County Department of Public Health are available on the Public Health website at http://www.publichealth.lacounty.gov/COVIDdata including:
COVID -19 Response Plan
COVID -19 Vaccinations
Skilled Nursing Facility Metrics

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

Los Angeles County Department of Public Health:

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

California Department of Public Health: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/nCOV2019.aspx
Centers for Disease Control and Prevention:

https://www.cdc.gov/coronavirus/2019-ncov/index.html

Centers for Disease Control and Prevention ? Spanish:

https://espanol.cdc.gov/enes/coronavirus/2019-ncov/index.html

World Health Organization https://www.who.int/health -topics/coronavirus
LA County residents can also call 2-1-1

Cases through 12:00pm 12/11/2023	?	?
?	Total Cases	?
Laboratory Confirmed Cases (includes LB and Pas through 6/27/23; excludes LB and Pas after 6/27/23)	3,832,772	?
Deaths (includes LB and Pas)	37,041	?
Cases by Age Group (Los Angeles County Cases Only-excl LB and Pas)	?	?
- 0 to 4	116,666	?
- 5 to 11	285,229	?
- 12 to 17	280,154	?
- 18 to 29	770,102	?
- 30 to 49	1,157,377	?
- 50 to 64	632,924	?
- 65 to 79	280,614	?
-? over 80	102,082	?
-? Under Investigation	2,631	?
Cases by Gender (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? Female	1,876,474	?
-? Male	1,659,717	?
-? Other	1,914	?
-? Under Investigation	89,674	?
Cases by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? American Indian/Alaska Native	6,898	?
-? Asian	271,942	?
-? Black	193,522	?
-? Hispanic/Latino	1,540,718	?
-? Native Hawaiian/Pacific Islander	18,119	?
-? White	508,232	?
-? Other	419,517	?
-? Under Investigation	668,831	?
Hospitalization (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? Hospitalized (Ever)	190,139	?
Deaths by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)	?	?
-? American Indian/Alaska Native	83	?
-? Asian	4,621	?
-? Black	3,294	?
-? Hispanic/Latino	17,028	?
-? Native Hawaiian/Pacific Islander	114	?
-? White	9,412	?
-? Other	479	?
-? Under Investigation	110	?
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	?
*? --Case and death numbers include cases identified among persons detained at correctional facilities located in the city/community		?
Data are subject to change based on further investigation		?

The Department of Public Health is committed to promoting health equity and ensuring optimal health and well -being for all 10 million residents of Los Angeles County. Through a variety of programs, community partnerships and services, Public Health oversees environmental health, disease control, and community and family health. Nationally accredited by the Public Health Accreditation Board, the Los Angeles County Department of Public Health comprises of more than 5,000 employees and has an annual budget of $1.3 billion.

Los Angeles County Department of Public Health works to protect health,?
prevent disease, and promote health and well-being.

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