From Los Angeles County Public Health <[email protected]>
Subject Respiratory Virus Transmission Indicators Still Heightened from Winter Surge
Date January 19, 2024 7:36 PM
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news release DPH


?

*For Immediate Release:*

January 19, 2024

*Respiratory Virus Transmission Indicators Still Heightened from Winter Surge*

The Los Angeles County Department of Public Health (Public Health) continues to report elevated levels of COVID-19, flu and respiratory syncytial virus (RSV) activity, underscoring the need for common-sense precautions even as we see slight declines in some indicators.

As COVID-19, flu and RSV continue to circulate in Los Angeles County, residents remain at increased risk of being exposed or exposing others to respiratory infections. People are encouraged to take common-sense precautions, such as getting vaccinated and, if sick, staying home, testing and seeking treatment, to protect themselves and the people around them from respiratory illness.

In Los Angeles County, wastewater concentrations of SARS-CoV-2, the virus that causes COVID-19, were up this week at 66 percent of last year?s winter peak, an increase from 60 percent reported last week, and significantly higher than the 36 percent reported on Dec. 27. Wastewater concentrations provide a more complete picture of COVID-19 transmission levels than reported cases alone.

Some other indicators have declined slightly over the past week but remain elevated. Daily average cases in Los Angeles County fell to 462 from 483 a week earlier. Reported cases do not include home tests, so the actual number of COVID-19 infections in the community is much higher. There was a daily average of 768 COVID-positive hospitalized patients this week compared to 830 last week. However, average daily COVID-19 deaths increased to 5.6 for the week ending Dec. 25, 2023, up from 3.7 reported a week earlier. It is not unexpected to see increases in the death metric later than other metrics due to both the time needed to receive death certificates and the natural progression of the disease.

Los Angeles County?s COVID-19 Hospital Admission Level, as defined by the U.S. Centers for Disease Control and Prevention (CDC), has returned to the Low Level after two weeks at Medium Level. Last Friday, CDC reported 9.8 new COVID-19 hospital admissions in Los Angeles County per 100,000 people for the week ending Jan. 6. Today, CDC reported 9.6 new COVID-19 hospital admissions per 100,000 people for the week ending Jan. 13.

Los Angeles County?s masking requirement for inpatient facilities as outlined in the Health Officer Order posted on Dec. 27, 2023, remains in effect despite the change in CDC Hospital Admission Levels. The new COVID-19 Hospital Admission Level for Los Angeles is hovering just below 10, with rates of 9.8 and 9.6 per 100,000 for the past two weeks. To continue to better protect patients in licensed healthcare facilities that provide inpatient care while COVID-19 transmission remains elevated and the hospital admission rate remains very close to 10, Los Angeles County will maintain required masking by staff and visitors in these facilities. Public Health will reassess the requirement in two weeks to allow for additional time to confirm a sustained decline in the new COVID-19 Hospital Admission Level to Low and to decrease the chance of needing to quickly reinstate the masking requirement in these facilities.

Flu and RSV also have seen small declines while continuing to spread at elevated levels in Los Angeles County. There was an average of 345 influenza-positive hospitalized patients per day for the week ending Jan. 6, a decrease from the average of 425 influenza-positive hospitalized patients per day the week before. For the week ending Jan. 6, 14.8 percent of specimens tested for influenza at sentinel surveillance laboratories were positive, similar to levels seen at the beginning of December. For the same week, 11 percent of specimens tested for RSV at sentinel surveillance laboratories were positive.

To help reduce the spread of respiratory illness, people experiencing respiratory symptoms, such as coughing, sneezing, sore throat or fever, should test for COVID-19. If they are positive, they should seek treatment, which can decrease the severity and length of illness and reduce the risk of long COVID. Oral antivirals also are available to reduce the chances of getting very sick from the flu.

One of the best and most effective ways to prevent serious illness remains vaccination. Public Health encourages residents to get the updated COVID-19 vaccine for maximum protection against new strains and waning immunity. It makes sense to also get the flu vaccine in January because a second wave of flu in the early spring is not uncommon. To find a vaccination site, visit?myturn.ca.gov [ [link removed] ].

Free vaccines, at-home test kits and medicines to treat both COVID-19 and flu may be accessed through Public Health, regardless of insurance or immigration status. Call the Public Health InfoLine at 1-833-540-0473 with health-related questions and for help making a telehealth appointment or getting a prescription for COVID-19 medication. The InfoLine is free to use and open seven days a week from 8 a.m. to 8 p.m.

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.

*Weekly COVID-19 Data Table*



*Metric*



*Date of Weekly Report*



*1/17/2024*



*1/10/2024*



*1/3/2024*



*12/27/2023*



Daily average cases



462



483



542



621



SARS-CoV-2 wastewater concentration as a percentage of the Winter 2022-2023 peak concentration value3



66%



60%



49%



36%



Daily average of the percent of Emergency Department (ED) encounters classified as coronavirus-related



4.2%



4.5%



4.5%



4.8%



Daily average number of COVID-positive hospitalizations



768



830



786



690



Daily average deaths



5.6



3.7



3.4



4.9



Percent of all deaths due to COVID-19



2.6%



3.0%



4.2%



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 for all weeks except 1/3/24. Long Beach and Pasadena are not included in the daily average death count for 1/3/24 because data was not available from CDPH due to the 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?[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] ]

??Resp Watch: Viral Respiratory Surveillance for LA County [ [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] ]

[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

Cases through 12:00pm 01/15/2024

? ? ?

*Total Cases*

?

*Laboratory Confirmed Cases?"(includes LB and Pas through 6/27/23; excludes LB and Pas after 6/27/23)"*



3,858,171

?

*Deaths?"(includes LB and Pas)"*



37,209

?

*Cases by Age Group (Los Angeles County Cases Only-excl LB and Pas)*

? ?

- 0 to 4



118,192

?

- 5 to 11



285,763

?

- 12 to 17



280,686

?

- 18 to 29



772,627

?

- 30 to 49



1,163,456

?

- 50 to 64



638,380

?

- 65 to 79



285,951

?

- over 80



105,481

?

- Under Investigation



2,642

?

*Cases by Gender (Los Angeles County Cases Only-excl LB and Pas)*

? ?

- Female



1,890,614

?

- Male



1,670,713

?

- Other



1,961

?

- Under Investigation



89,890

?

*Cases by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*

? ?

- American Indian/Alaska Native



6,949

?

- Asian



274,199

?

- Black



195,506

?

- Hispanic/Latino



1,548,182

?

- Native Hawaiian/Pacific Islander



18,224

?

- White



513,589

?

- Other



423,586

?

- Under Investigation



672,943

?

*Hospitalization (Los Angeles County Cases Only-excl LB and Pas)*

? ?

- Hospitalized (Ever)



193739

?

*Deaths by Race/Ethnicity (Los Angeles County Cases Only-excl LB and Pas)*

? ?

- American Indian/Alaska Native



83

?

- Asian



4,646

?

- Black



3,299

?

- Hispanic/Latino



17,063

?

- Native Hawaiian/Pacific Islander



115

?

- White



9,481

?

- Other



506

?

- Under Investigation



115

?

*CITY / COMMUNITY***



*Cases*



*Case Rate*



City of Agoura Hills



6594



31576



City of Alhambra



26498



30554



City of Arcadia



14381



24900



City of Artesia



6260



37273



City of Avalon



301



7780



City of Azusa



17978



35927



City of Baldwin Park



30466



39685



City of Bell



17309



47641



City of Bell Gardens



17469



40559



City of Bellflower



31645



40709



City of Beverly Hills



12068



34959



City of Bradbury



71



6642



City of Burbank



34091



31807



City of Calabasas



6165



25346



City of Carson



36292



38672



City of Cerritos



13991



27945



City of Claremont



10747



29457



City of Commerce*



5978



45742



City of Compton



41378



41418



City of Covina



20925



42676



City of Cudahy



12411



50975



City of Culver City



12499



31353



City of Diamond Bar



14171



24639



City of Downey



47989



41999



City of Duarte



7752



35211



City of El Monte



43914



37447



City of El Segundo



4260



25378



City of Gardena



22822



37224



City of Glendale



62457



30247



City of Glendora



15683



29723



City of Hawaiian Gardens



5143



35044



City of Hawthorne



30690



34566



City of Hermosa Beach



4926



25043



City of Hidden Hills



399



21111



City of Huntington Park



26780



45021



City of Industry



1065



243707



City of Inglewood



40131



35332



City of Irwindale



910



62371



City of La Canada Flintridge



4780



23100



City of La Habra Heights



216



3960



City of La Mirada



14738



29714



City of La Puente



16357



40192



City of La Verne



9540



28664



City of Lakewood



28068



34927



City of Lancaster*



66329



41053



City of Lawndale



10951



32579



City of Lomita



6391



30831



City of Lynwood*



32041



44472



City of Malibu



3005



23185



City of Manhattan Beach



7765



21570



City of Maywood



13124



46790



City of Monrovia



12318



31747



City of Montebello



26141



40607



City of Monterey Park



18185



29207



City of Norwalk



44173



41045



City of Palmdale



68784



43269



City of Palos Verdes Estates



2393



17697



City of Paramount



23283



41560



City of Pico Rivera



28771



44756



City of Pomona



67372



43206



City of Rancho Palos Verdes



8311



19442



City of Redondo Beach



16383



23848



City of Rolling Hills



317



16340



City of Rolling Hills Estates



1664



20510



City of Rosemead



15729



28417



City of San Dimas*



11446



33161



City of San Fernando



13106



53250



City of San Gabriel



12075



29484



City of San Marino



2546



19176



City of Santa Clarita



76970



34919



City of Santa Fe Springs



8060



43890



City of Santa Monica



27997



30285



City of Sierra Madre



2564



23332



City of Signal Hill



4251



36035



City of South El Monte



8615



41250



City of South Gate



48122



49027



City of South Pasadena



6586



25279



City of Temple City



11106



30465



City of Torrance



36203



24254



City of Vernon



362



173206



City of Walnut



7821



25616



City of West Covina



40786



37683



City of West Hollywood



11691



31639



City of Westlake Village



461



5514



City of Whittier



32103



36718



Los Angeles



1575369



38950



Los Angeles - Adams-Normandie



3286



40063



Los Angeles - Alsace



4666



37493



Los Angeles - Angeles National Forest



1



2500



Los Angeles - Angelino Heights



861



34412



Los Angeles - Arleta



17355



50495



Los Angeles - Atwater Village



5241



35736



Los Angeles - Baldwin Hills



10699



34374



Los Angeles - Bel Air



2567



30454



Los Angeles - Beverly Crest



3470



27705



Los Angeles - Beverlywood



4361



33106



Los Angeles - Boyle Heights*



41303



47538



Los Angeles - Brentwood



8804



28441



Los Angeles - Brookside



158



27194



Los Angeles - Cadillac-Corning



2359



33127



Los Angeles - Canoga Park



26105



39984



Los Angeles - Carthay



4578



31874



Los Angeles - Central



17285



44330



Los Angeles - Century City



3953



30902



Los Angeles - Century Palms/Cove



16724



49529



Los Angeles - Chatsworth



13496



36416



Los Angeles - Cheviot Hills



2678



29201



Los Angeles - Chinatown



3063



38187



Los Angeles - Cloverdale/Cochran



5484



37683



Los Angeles - Country Club Park



5054



33353



Los Angeles - Crenshaw District



5555



40169



Los Angeles - Crestview



4117



36216



Los Angeles - Del Rey



8831



29500



Los Angeles - Downtown*



16586



60297



Los Angeles - Eagle Rock



14283



36078



Los Angeles - East Hollywood



9862



33674



Los Angeles - Echo Park



4616



32379



Los Angeles - El Sereno



17373



41554



Los Angeles - Elysian Park



1890



33088



Los Angeles - Elysian Valley



3675



36132



Los Angeles - Encino



15824



35031



Los Angeles - Exposition



1327



39898



Los Angeles - Exposition Park



18639



41497



Los Angeles - Faircrest Heights



1307



36306



Los Angeles - Figueroa Park Square



3899



44708



Los Angeles - Florence-Firestone



23318



49147



Los Angeles - Glassell Park



11340



35882



Los Angeles - Gramercy Place



4345



40366



Los Angeles - Granada Hills



22460



38597



Los Angeles - Green Meadows



10330



48035



Los Angeles - Hancock Park



4889



28693



Los Angeles - Harbor City



9792



33684



Los Angeles - Harbor Gateway



16245



37259



Los Angeles - Harbor Pines



668



27729



Los Angeles - Harvard Heights



6297



34915



Los Angeles - Harvard Park



18498



48762



Los Angeles - Highland Park



17733



36645



Los Angeles - Historic Filipinotown



5634



40620



Los Angeles - Hollywood



22375



32782



Los Angeles - Hollywood Hills



7946



26996



Los Angeles - Hyde Park



12378



43369



Los Angeles - Jefferson Park



3246



40208



Los Angeles - Koreatown



16630



32171



Los Angeles - Lafayette Square



1640



35973



Los Angeles - Lake Balboa



16830



39876



Los Angeles - Lakeview Terrace



6380



48580



Los Angeles - Leimert Park



5997



39363



Los Angeles - Lincoln Heights



13141



40314



Los Angeles - Little Armenia



3128



38978



Los Angeles - Little Bangladesh



8876



31316



Los Angeles - Little Tokyo



1567



50016



Los Angeles - Longwood



1852



43030



Los Angeles - Los Feliz



6643



30743



Los Angeles - Manchester Square



3377



39562



Los Angeles - Mandeville Canyon



955



30570



Los Angeles - Mar Vista



11513



27108



Los Angeles - Marina Peninsula



1004



23028



Los Angeles - Melrose



27027



34786



Los Angeles - Mid-city



4662



31018



Los Angeles - Miracle Mile



5127



28507



Los Angeles - Mission Hills



12338



51144



Los Angeles - Mt. Washington



8449



34993



Los Angeles - North Hills



26183



42522



Los Angeles - North Hollywood



60909



40225



Los Angeles - Northridge



26654



38188



Los Angeles - Pacific Palisades



5297



24879



Los Angeles - Pacoima



39793



51693



Los Angeles - Palisades Highlands



970



25221



Los Angeles - Palms



12605



28728



Los Angeles - Panorama City



34556



45922



Los Angeles - Park La Brea



3357



24720



Los Angeles - Pico-Union



16758



40051



Los Angeles - Playa Del Rey



639



19994



Los Angeles - Playa Vista



3606



32941



Los Angeles - Porter Ranch



11090



31162



Los Angeles - Rancho Park



2373



36174



Los Angeles - Regent Square



920



33094



Los Angeles - Reseda



33358



43539



Los Angeles - Reseda Ranch



1864



40207



Los Angeles - Reynier Village



1220



28855



Los Angeles - San Pedro*



27299



34982



Los Angeles - Shadow Hills



1361



30639



Los Angeles - Sherman Oaks



28878



33096



Los Angeles - Silverlake



13711



31103



Los Angeles - South Carthay



3432



32393



Los Angeles - South Park



17172



45236



Los Angeles - St Elmo Village



1926



42016



Los Angeles - Studio City



7354



32772



Los Angeles - Sun Valley



23884



45508



Los Angeles - Sunland



7151



35040



Los Angeles - Sycamore Square



216



33385



Los Angeles - Sylmar*



43502



52795



Los Angeles - Tarzana



11020



35691



Los Angeles - Temple-Beaudry



13825



35016



Los Angeles - Thai Town



2894



29504



Los Angeles - Toluca Lake



2651



30457



Los Angeles - Toluca Terrace



559



42802



Los Angeles - Toluca Woods



507



27287



Los Angeles - Tujunga



9304



33456



Los Angeles - University Hills



958



27938



Los Angeles - University Park



11822



43058



Los Angeles - Valley Glen



11546



38466



Los Angeles - Valley Village



8867



35870



Los Angeles - Van Nuys*



38835



41671



Los Angeles - Venice



9485



27992



Los Angeles - Vermont Knolls



7746



45035



Los Angeles - Vermont Square



3843



50189



Los Angeles - Vermont Vista



19208



46637



Los Angeles - Vernon Central



25117



48304



Los Angeles - Victoria Park



2901



34540



Los Angeles - View Heights



1168



31619



Los Angeles - Watts



20169



47263



Los Angeles - Wellington Square



1895



38555



Los Angeles - West Adams



11382



41194



Los Angeles - West Hills



13558



33439



Los Angeles - West Los Angeles



12240



32522



Los Angeles - West Vernon



25361



47276



Los Angeles - Westchester



14480



28060



Los Angeles - Westlake



21477



36184



Los Angeles - Westwood



17433



32218



Los Angeles - Wholesale District*



22992



63639



Los Angeles - Wilmington



24349



43105



Los Angeles - Wilshire Center



17540



34961



Los Angeles - Winnetka



20689



39951



Los Angeles - Woodland Hills



21661



31829



Unincorporated - Acton



2111



26484



Unincorporated - Agua Dulce



1038



24964



Unincorporated - Altadena



12322



28249



Unincorporated - Anaverde



437



28979



Unincorporated - Angeles National Forest



96



7711



Unincorporated - Arcadia



2358



29545



Unincorporated - Athens Village



2902



59261



Unincorporated - Athens-Westmont



18155



42776



Unincorporated - Avocado Heights



2801



41343



Unincorporated - Azusa



6519



40941



Unincorporated - Bassett



6378



43045



Unincorporated - Bouquet Canyon



221



20596



Unincorporated - Bradbury



156



144444



Unincorporated - Canyon Country



3949



51100



Unincorporated - Castaic*



10118



37211



Unincorporated - Cerritos



194



33049



Unincorporated - Charter Oak



10



50000



Unincorporated - Claremont



162



23077



Unincorporated - Covina



6458



38397



Unincorporated - Covina (Charter Oak)



5201



39569



Unincorporated - Del Aire



1267



28841



Unincorporated - Del Rey



152



47799



Unincorporated - Del Sur



726



30062



Unincorporated - Desert View Highlands



1000



40112



Unincorporated - Duarte



2080



46974



Unincorporated - East Covina



92



27964



Unincorporated - East La Mirada



1698



32086



Unincorporated - East Lancaster



46



40351



Unincorporated - East Los Angeles



59895



47813



Unincorporated - East Pasadena



442



6903



Unincorporated - East Rancho Dominguez



6497



42442



Unincorporated - East Whittier



1485



27987



Unincorporated - El Camino Village



2870



32647



Unincorporated - El Monte



1



690



Unincorporated - Elizabeth Lake



307



18483



Unincorporated - Florence-Firestone



30994



47900



Unincorporated - Franklin Canyon



2



16667



Unincorporated - Glendora



203



30758



Unincorporated - Hacienda Heights



17024



30440



Unincorporated - Harbor Gateway



4



4.00E+05



Unincorporated - Hawthorne



787



31305



Unincorporated - Hi Vista



176



16029



Unincorporated - Kagel/Lopez Canyons



343



24292



Unincorporated - La Crescenta-Montrose



4684



23655



Unincorporated - La Habra Heights



21



3107



Unincorporated - La Rambla



998



48096



Unincorporated - La Verne*



677



33186



Unincorporated - Ladera Heights



2203



31155



Unincorporated - Lake Hughes



214



32036



Unincorporated - Lake Los Angeles



4199



32315



Unincorporated - Lake Manor



484



29458



Unincorporated - Lakewood



28



24561



Unincorporated - Lennox



7888



34992



Unincorporated - Leona Valley



322



18389



Unincorporated - Littlerock



1461



36334



Unincorporated - Littlerock/Juniper Hills



373



28759



Unincorporated - Littlerock/Pearblossom



1360



38106



Unincorporated - Llano



114



12999



Unincorporated - Marina del Rey



2879



30592



Unincorporated - Miracle Mile



0



0



Unincorporated - Monrovia



1169



30121



Unincorporated - Newhall



109



49545



Unincorporated - North Lancaster



519



43322



Unincorporated - North Whittier



3254



38923



Unincorporated - Northeast San Gabriel



5552



23099



Unincorporated - Padua Hills



39



18140



Unincorporated - Palmdale



274



32542



Unincorporated - Palos Verdes Peninsula



137



22061



Unincorporated - Pearblossom/Llano



448



22904



Unincorporated - Pellissier Village



381



61551



Unincorporated - Placerita Canyon



25



5435



Unincorporated - Pomona



130



6708



Unincorporated - Quartz Hill



4040



31303



Unincorporated - Rancho Dominguez



1263



47463



Unincorporated - Roosevelt



289



31042



Unincorporated - Rosewood



532



41369



Unincorporated - Rosewood/East Gardena



568



47611



Unincorporated - Rosewood/West Rancho Dominguez



1403



41744



Unincorporated - Rowland Heights



12921



25324



Unincorporated - San Clemente Island



0



0



Unincorporated - San Francisquito Canyon/Bouquet Canyon



46



5361



Unincorporated - San Jose Hills



8127



40191



Unincorporated - San Pasqual



91



4472



Unincorporated - Sand Canyon



64



20779



Unincorporated - Santa Catalina Island



597



223596



Unincorporated - Santa Monica Mountains*



4115



22099



Unincorporated - Saugus



361



232903



Unincorporated - Saugus/Canyon Country



153



42978



Unincorporated - South Antelope Valley



127



27912



Unincorporated - South El Monte



779



43398



Unincorporated - South San Gabriel



3411



38551



Unincorporated - South Whittier



22176



37446



Unincorporated - Southeast Antelope Valley



263



33675



Unincorporated - Stevenson Ranch



6313



30111



Unincorporated - Sun Village



2199



36431



Unincorporated - Sunrise Village



610



47068



Unincorporated - Twin Lakes/Oat Mountain



459



27684



Unincorporated - Val Verde



1274



38501



Unincorporated - Valencia



995



32389



Unincorporated - Valinda



9927



42476



Unincorporated - View Park/Windsor Hills



3807



32720



Unincorporated - Walnut Park



7584



46980



Unincorporated - West Antelope Valley



205



13567



Unincorporated - West Carson



8815



39912



Unincorporated - West Chatsworth



5



41667



Unincorporated - West LA



989



103887



Unincorporated - West Puente Valley



4361



44342



Unincorporated - West Rancho Dominguez



515



37896



Unincorporated - West Whittier/Los Nietos



11042



41010



Unincorporated - Westfield/Academy Hills



273



21000



Unincorporated - Westhills



213



25387



Unincorporated - White Fence Farms



969



26310



Unincorporated - Whittier



1034



27326



Unincorporated - Whittier Narrows



78



650000



Unincorporated - Willowbrook



17230



49351



Unincorporated - Wiseburn



2007



33300



- Under Investigation



75235

?

* --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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