From Los Angeles County Public Health <[email protected]>
Subject Press Release: COVID-Associated Deaths Drive All-Cause Mortality Rate Increases in LA County Since 2020 - 1,017 New Positive Cases and 14 New Deaths Due to COVID-19 in Los Angeles County
Date October 21, 2022 10:38 PM
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news release DPH


**For Immediate Release:**

October 21, 2022

*COVID-Associated Deaths Drive All-Cause Mortality Rate Increases in LA County Since 2020*

1,017 New Positive Cases and 14 New Deaths Due to COVID-19 in Los Angeles County

While COVID-19 mortality is down this year, the impact of COVID-associated deaths remains significant and concerning, according to a new analysis by the Department of Public Health which found a vast majority of increases in all-cause mortality were due to COVID-associated deaths.

The Public Health data analysis reviewed COVID and non-COVID mortality rates for four 6-month periods of January through June, from 2019 to 2022. During the ten-year period ending in 2019, before the pandemic, the all-cause mortality rate had been stable with a slight downward trend.

The most dramatic finding is that when the pandemic started, the all-cause mortality rate for the first half of 2020 increased from about 298 deaths per 100,000 people to almost 336 deaths per 100,000 people. In 2021, it increased even more significantly to almost 400 deaths per 100,000 people. During the first half of 2022, it dropped back to about 336 deaths, but this is still considerably higher compared to the 2019 all-cause mortality rate.

The majority of these increases in all-cause mortality were due to COVID-associated deaths, but COVID deaths do not account for all of the increase. The COVID-19 pandemic also may have led to more deaths from other causes through delayed care for other conditions, health systems being overwhelmed, or people being apprehensive about potential exposure to the virus.

The leading causes of death shifted during the pandemic. For the first six months of 2019 and 2020, coronary heart disease was the leading cause of death, with just over 50 deaths per 100,000 people. Although COVID cases didn?t rise until March 2020, deaths associated with COVID increased dramatically and COVID mortality became the second leading cause of death for the first six months of 2020, with 28 deaths per 100,000 people.

In 2021, COVID was by far, the leading cause of death, causing almost 96 deaths per 100,000 people, while coronary heart disease continued to be responsible for about the same number of deaths ? about 51 deaths per 100,000 people. For the first half of 2022, coronary heart disease again was the leading cause of death, with COVID close behind as the second-leading cause of death.

The analysis also recognized that the COVID-specific mortality rate in 2022 among Latinos and Blacks is about twice as high compared to the rate among Asians and Whites.??

The analysis reviewed mortality rates by age groups and found that while death rates associated with COVID have been highest among older residents, younger adults experienced a greater increase in mortality rates than older adults, when comparing 2022 to 2019. For example, the all-cause mortality rate in 2022 is?29% higher for 18-to-29-year-olds,?and 36% higher for 30-to-49-year-olds compared to their respective rates in 2019.?By contrast, the all-cause mortality rate in 2022 vs. 2019 is?12% higher for 50-to-64-year-olds,?15% higher for 65-to-79-year-olds,?and 6.5% higher among those 80 years and older.?

To reduce the high death rates associated with COVID, residents should use all the resources available to protect against severe illness, hospitalization, and death. While vaccines and boosters play a critical role, therapeutics can also play an important role.

There are four different COVID-19 therapeutics [ [link removed] ] that healthcare providers have available to treat people with symptoms of COVID. The specific medication they choose to treat a patient will depend on a variety of factors, including the patient?s prior medical history and response to other medications.

For those at higher risk for severe illness, telehealth allows residents who have tested positive for COVID to be screened for and access therapeutics from their home. If eligible for treatment, a prescription can be called into a local pharmacy or overnight shipped to the patient?s home.

If a resident?s regular provider doesn?t offer telehealth services, or a resident does not have a provider, they can call the Public Health Tele-Health Service at 1-833-540-0473, which is open 7 days a week from 8:00am ? 8:30pm. The Public Health Tele-Health Service and medications are offered free of charge.

Currently, the county overall continues to report improved COVID-19 metrics. The 7-day average case count in the county is 874, an 8% decline from one week ago when the 7-day average of 946 cases was reported.

Over the past seven days, the average number of daily COVID-positive patients in LA County hospitals declined slightly to 404, a 13% decline from one week ago when the average number of daily COVID-positive patients per day was 467.

Deaths, which typically lag hospitalizations by several weeks, remained relatively stable at 12 deaths reported each day this past week.?

?I send my deepest sympathies and wishes of peace and comfort to the many families who have lost a loved one from COVID-19,? said Barbara Ferrer, PhD, MPH, MEd, Director of Public Health. ?After the high death rates associated with COVID in the past three years, all county residents should take advantage of the resources available in the coming months to protect against severe illness, hospitalization, and death, including therapeutics. It?s important to note that these treatments are not a replacement for vaccination and getting boosted. The best way to avoid severe symptoms, and the potential of long COVID, is to do everything you can to avoid infection in the first place. However, breakthrough infections happen, and these medications effectively reduce severe outcomes associated with COVID-19. I hope that as we get closer to the holidays and the colder weather, each of us can be sure we continue to do our part to protect those most vulnerable by staying home if sick, getting tested when exposed, ill or gathering indoors with others at elevated risk, and taking advantage of the new boosters that protect against Omicron.?

Today, Public Health reported 14 additional deaths and 1,017 new positive cases. Of the 14 new deaths reported today, one person was between the ages of 12-17, three people were between the ages of 50-64, five people were between the ages of 65-79, and four people were aged 80 years or older.? For information about the one death reported by the City of Long Beach, visit longbeach.gov [ [link removed] ]. Of the 14 newly reported deaths, 12 had underlying health conditions. To date, the total number of deaths in L.A. County is 33,889.

Public Health has reported a total of 3,476,928 positive cases of COVID-19 across all areas of L.A. County. Today?s positivity rate is 3.6%.

There are 389 people with COVID-19 currently hospitalized. Testing results are available for more than 12,617,347 individuals, with 24% of people testing positive.

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] ]?including:


* COVID-19 Daily Data (cases, deaths, testing, testing positivity rate, mortality rate, and hospitalizations) [ [link removed] ]
* Gender, Age, Race/Ethnicity and City/Community Cases and Deaths [ [link removed] ]
* Recovery Metrics [ [link removed] ]
* Contact Tracing Metrics [ [link removed] ]
* Skilled Nursing Facility Metrics [ [link removed] ]
* Citations due to Health Officer Order Noncompliance
* Outbreaks:
* Residential Congregate Settings
* Non-Residential Settings
* Homeless Service Settings

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


* Los Angeles County Department of Public Health: [link removed] [ [link removed] ]
* California Department of Public Health:
* [link removed] [ [link removed] ]
* Centers for Disease Control and Prevention: [link removed] [ [link removed] ]
* Spanish?[link removed] [ [link removed] ]
* World Health Organization?[link removed] [ [link removed] ]
* LA County residents can also call 2-1-1

For more information:

*?*



*Total Cases*



?



*Laboratory Confirmed Cases *



3,476,928



?



-- Los Angeles County (excl. LB and Pas)



3,288,326



?



-- Long Beach



152,219



?



-- Pasadena



36,383



?



*Deaths*



33,889



?



-- Los Angeles County (excl. LB and Pas)



32,119



?



-- Long Beach



1,336



?



-- Pasadena



434



?



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



?



?



- 0 to 4



103,903



?



- 5 to 11



275,181



?



- 12 to 17



269,314



?



- 18 to 29



717,564



?



- 30 to 49



1,057,884



?



- 50 to 64



558,403



?



- 65 to 79



228,513



?



-? over 80



75,184



?



-? Under Investigation



2,380



?



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



?



?



-? Female



1,688,556



?



-? Male



1,512,152



?



-? Other



1,559



?



-? Under Investigation



86,059



?



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



?



?



-? American Indian/Alaska Native



6,221



?



-? Asian



235,989



?



-? Black



169,114



?



-? Hispanic/Latino



1,424,224



?



-? Native Hawaiian/Pacific Islander



16,710



?



-? White



448,074



?



-? Other



373,099



?



-? Under Investigation



614,895



?



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



?



?



-? Hospitalized (Ever)



157,427



?



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



?



?



-? American Indian/Alaska Native



74



?



-? Asian



4,084



?



-? Black



3,007



?



-? Hispanic/Latino



16,132



?



-? Native Hawaiian/Pacific Islander



112



?



-? White



8,267



?



-? Other



363



?



-? Under Investigation



80



?



*CITY / COMMUNITY***



*Cases*



*Case Rate*



City of Agoura Hills



6006



28760



City of Alhambra



22834



26330



City of Arcadia



11860



20535



City of Artesia



5423



32289



City of Avalon



66



1706



City of Azusa



16516



33006



City of Baldwin Park



27521



35849



City of Bell



16007



44058



City of Bell Gardens



16134



37459



City of Bellflower



28299



36404



City of Beverly Hills



10685



30953



City of Bradbury



67



6268



City of Burbank



29721



27730



City of Calabasas



5342



21963



City of Carson



32194



34305



City of Cerritos



11930



23828



City of Claremont



8922



24455



City of Commerce*



5334



40814



City of Compton



38226



38263



City of Covina



17849



36403



City of Cudahy



11569



47517



City of Culver City



10486



26304



City of Diamond Bar



12194



21201



City of Downey



43391



37975



City of Duarte



6718



30514



City of El Monte



39546



33722



City of El Segundo



3760



22400



City of Gardena



20197



32942



City of Glendale



55034



26652



City of Glendora



14779



28010



City of Hawaiian Gardens



4845



33013



City of Hawthorne



27264



30707



City of Hermosa Beach



4360



22166



City of Hidden Hills



368



19471



City of Huntington Park



25280



42499



City of Industry



498



113959



City of Inglewood



34986



30802



City of Irwindale



632



43317



City of La Canada Flintridge



4138



19997



City of La Habra Heights



174



3190



City of La Mirada



12983



26176



City of La Puente



15161



37253



City of La Verne



8657



26011



City of Lakewood



24526



30519



City of Lancaster*



59661



36926



City of Lawndale



9911



29485



City of Lomita



5506



26562



City of Lynwood*



28901



40114



City of Malibu



2711



20917



City of Manhattan Beach



6744



18734



City of Maywood



12198



43488



City of Monrovia



10679



27523



City of Montebello



23381



36320



City of Monterey Park



15765



25320



City of Norwalk



39539



36739



City of Palmdale



62240



39153



City of Palos Verdes Estates



2023



14961



City of Paramount



21887



39068



City of Pico Rivera



25681



39949



City of Pomona



61057



39156



City of Rancho Palos Verdes



6843



16008



City of Redondo Beach



14139



20582



City of Rolling Hills



256



13196



City of Rolling Hills Estates



1375



16948



City of Rosemead



14139



25545



City of San Dimas*



10263



29734



City of San Fernando



12026



48862



City of San Gabriel



10199



24904



City of San Marino



2167



16321



City of Santa Clarita



67573



30656



City of Santa Fe Springs



7525



40977



City of Santa Monica



24203



26181



City of Sierra Madre



2134



19419



City of Signal Hill



3714



31483



City of South El Monte



7698



36859



City of South Gate



44584



45422



City of South Pasadena



5768



22139



City of Temple City



8984



24644



City of Torrance



31019



20781



City of Vernon



345



165072



City of Walnut



6818



22331



City of West Covina



36608



33823



City of West Hollywood



10360



28037



City of Westlake Village



361



4318



City of Whittier



28939



33099



Los Angeles



1421587



35148



Los Angeles - Adams-Normandie



3015



36759



Los Angeles - Alsace



4207



33805



Los Angeles - Angeles National Forest



6



15000



Los Angeles - Angelino Heights



772



30855



Los Angeles - Arleta



15831



46061



Los Angeles - Atwater Village



4596



31338



Los Angeles - Baldwin Hills



9372



30111



Los Angeles - Bel Air



2223



26373



Los Angeles - Beverly Crest



3098



24735



Los Angeles - Beverlywood



3853



29249



Los Angeles - Boyle Heights*



38176



43939



Los Angeles - Brentwood



7808



25224



Los Angeles - Brookside



136



23408



Los Angeles - Cadillac-Corning



2225



31246



Los Angeles - Canoga Park



23781



36424



Los Angeles - Carthay



3912



27237



Los Angeles - Central



16361



41960



Los Angeles - Century City



3383



26446



Los Angeles - Century Palms/Cove



15296



45300



Los Angeles - Chatsworth



11862



32007



Los Angeles - Cheviot Hills



2328



25384



Los Angeles - Chinatown



2576



32116



Los Angeles - Cloverdale/Cochran



4898



33656



Los Angeles - Country Club Park



4489



29624



Los Angeles - Crenshaw District



4884



35317



Los Angeles - Crestview



3561



31325



Los Angeles - Del Rey



7830



26156



Los Angeles - Downtown*



14967



54412



Los Angeles - Eagle Rock



12511



31602



Los Angeles - East Hollywood



8823



30126



Los Angeles - Echo Park



4225



29637



Los Angeles - El Sereno



15954



38160



Los Angeles - Elysian Park



1699



29744



Los Angeles - Elysian Valley



3373



33163



Los Angeles - Encino



13980



30948



Los Angeles - Exposition



1194



35899



Los Angeles - Exposition Park



16882



37585



Los Angeles - Faircrest Heights



1161



32250



Los Angeles - Figueroa Park Square



3512



40271



Los Angeles - Florence-Firestone



21822



45994



Los Angeles - Glassell Park



10180



32211



Los Angeles - Gramercy Place



3804



35340



Los Angeles - Granada Hills



19976



34328



Los Angeles - Green Meadows



9594



44613



Los Angeles - Hancock Park



4382



25717



Los Angeles - Harbor City



8694



29907



Los Angeles - Harbor Gateway



14664



33633



Los Angeles - Harbor Pines



584



24242



Los Angeles - Harvard Heights



5877



32587



Los Angeles - Harvard Park



17033



44900



Los Angeles - Highland Park



16029



33124



Los Angeles - Historic Filipinotown



5042



36352



Los Angeles - Hollywood



20000



29302



Los Angeles - Hollywood Hills



7071



24023



Los Angeles - Hyde Park



10921



38264



Los Angeles - Jefferson Park



2972



36814



Los Angeles - Koreatown



15287



29573



Los Angeles - Lafayette Square



1538



33735



Los Angeles - Lake Balboa



14915



35339



Los Angeles - Lakeview Terrace



5470



41651



Los Angeles - Leimert Park



5271



34598



Los Angeles - Lincoln Heights



12008



36838



Los Angeles - Little Armenia



2851



35526



Los Angeles - Little Bangladesh



8233



29048



Los Angeles - Little Tokyo



1355



43249



Los Angeles - Longwood



1621



37663



Los Angeles - Los Feliz



5313



24588



Los Angeles - Manchester Square



2940



34442



Los Angeles - Mandeville Canyon



737



23592



Los Angeles - Mar Vista



9998



23541



Los Angeles - Marina Peninsula



901



20665



Los Angeles - Melrose



24455



31475



Los Angeles - Mid-city



4347



28922



Los Angeles - Miracle Mile



4569



25405



Los Angeles - Mission Hills



11094



45987



Los Angeles - Mt. Washington



7808



32338



Los Angeles - North Hills



23617



38355



Los Angeles - North Hollywood



55431



36607



Los Angeles - Northridge



23630



33855



Los Angeles - Pacific Palisades



4631



21751



Los Angeles - Pacoima



36665



47630



Los Angeles - Palisades Highlands



861



22387



Los Angeles - Palms



11032



25143



Los Angeles - Panorama City



31430



41767



Los Angeles - Park La Brea



2966



21841



Los Angeles - Pico-Union



15553



37171



Los Angeles - Playa Del Rey



548



17146



Los Angeles - Playa Vista



3154



28812



Los Angeles - Porter Ranch



9715



27299



Los Angeles - Rancho Park



2068



31524



Los Angeles - Regent Square



813



29245



Los Angeles - Reseda



29682



38741



Los Angeles - Reseda Ranch



1686



36368



Los Angeles - Reynier Village



1137



26892



Los Angeles - San Pedro*



24273



31104



Los Angeles - Shadow Hills



1190



26790



Los Angeles - Sherman Oaks



25361



29066



Los Angeles - Silverlake



12560



28492



Los Angeles - South Carthay



2903



27400



Los Angeles - South Park



16453



43342



Los Angeles - St Elmo Village



1776



38743



Los Angeles - Studio City



6446



28725



Los Angeles - Sun Valley



21839



41612



Los Angeles - Sunland



6354



31135



Los Angeles - Sycamore Square



171



26430



Los Angeles - Sylmar*



39534



47979



Los Angeles - Tarzana



9719



31478



Los Angeles - Temple-Beaudry



12918



32719



Los Angeles - Thai Town



2676



27281



Los Angeles - Toluca Lake



2345



26942



Los Angeles - Toluca Terrace



431



33002



Los Angeles - Toluca Woods



473



25457



Los Angeles - Tujunga



8295



29827



Los Angeles - University Hills



869



25343



Los Angeles - University Park



10922



39780



Los Angeles - Valley Glen



10437



34771



Los Angeles - Valley Village



7717



31218



Los Angeles - Van Nuys*



35244



37818



Los Angeles - Venice



8520



25144



Los Angeles - Vermont Knolls



7070



41105



Los Angeles - Vermont Square



3574



46676



Los Angeles - Vermont Vista



17458



42388



Los Angeles - Vernon Central



23951



46061



Los Angeles - Victoria Park



2661



31682



Los Angeles - View Heights



955



25853



Los Angeles - Watts



18112



42443



Los Angeles - Wellington Square



1697



34527



Los Angeles - West Adams



10223



37000



Los Angeles - West Hills



11450



28240



Los Angeles - West Los Angeles



10453



27774



Los Angeles - West Vernon



23252



43345



Los Angeles - Westchester



12343



23919



Los Angeles - Westlake



19591



33006



Los Angeles - Westwood



15137



27975



Los Angeles - Wholesale District*



19508



53995



Los Angeles - Wilmington



22165



39239



Los Angeles - Wilshire Center



15460



30815



Los Angeles - Winnetka



18571



35861



Los Angeles - Woodland Hills



19026



27957



Unincorporated - Acton



1840



23084



Unincorporated - Agua Dulce



927



22294



Unincorporated - Altadena



10611



24326



Unincorporated - Anaverde



377



25000



Unincorporated - Angeles National Forest



100



8032



Unincorporated - Arcadia



2010



25185



Unincorporated - Athens-Westmont



16485



38841



Unincorporated - Athens Village



2660



54319



Unincorporated - Avocado Heights



2622



38701



Unincorporated - Azusa



5791



36369



Unincorporated - Bassett



5642



38078



Unincorporated - Bouquet Canyon



191



17801



Unincorporated - Bradbury



101



93519



Unincorporated - Canyon Country



3323



42999



Unincorporated - Castaic*



9143



33625



Unincorporated - Cerritos



178



30324



Unincorporated - Charter Oak



2



10000



Unincorporated - Claremont



126



17949



Unincorporated - Covina



5840



34723



Unincorporated - Covina (Charter Oak)



4478



34069



Unincorporated - Del Aire



1145



26064



Unincorporated - Del Rey



128



40252



Unincorporated - Del Sur



658



27246



Unincorporated - Desert View Highlands



880



35299



Unincorporated - Duarte



1861



42028



Unincorporated - East Covina



88



26748



Unincorporated - East La Mirada



1513



28590



Unincorporated - East Lancaster



51



44737



Unincorporated - East Los Angeles



55585



44373



Unincorporated - East Pasadena



366



5716



Unincorporated - East Rancho Dominguez



5765



37660



Unincorporated - East Whittier



1343



25311



Unincorporated - El Camino Village



2270



25822



Unincorporated - El Monte



58



40000



Unincorporated - Elizabeth Lake



251



15111



Unincorporated - Florence-Firestone



29366



45384



Unincorporated - Franklin Canyon



1



8333



Unincorporated - Glendora



190



28788



Unincorporated - Hacienda Heights



15234



27240



Unincorporated - Harbor Gateway



5



500000



Unincorporated - Hawthorne



715



28441



Unincorporated - Hi Vista



158



14390



Unincorporated - Kagel/Lopez Canyons



596



42210



Unincorporated - La Crescenta-Montrose



4031



20358



Unincorporated - La Habra Heights



18



2663



Unincorporated - La Rambla



735



35422



Unincorporated - La Verne*



610



29902



Unincorporated - Ladera Heights



1745



24678



Unincorporated - Lake Hughes



193



28892



Unincorporated - Lake Los Angeles



3890



29937



Unincorporated - Lake Manor



429



26111



Unincorporated - Lakewood



1



877



Unincorporated - Lennox



7342



32570



Unincorporated - Leona Valley



303



17304



Unincorporated - Littlerock



1359



33798



Unincorporated - Littlerock/Juniper Hills



315



24287



Unincorporated - Littlerock/Pearblossom



1220



34183



Unincorporated - Llano



110



12543



Unincorporated - Marina del Rey



2193



23303



Unincorporated - Miracle Mile



0



0



Unincorporated - Monrovia



1139



29348



Unincorporated - Newhall



100



45455



Unincorporated - North Lancaster



376



31386



Unincorporated - North Whittier



2881



34462



Unincorporated - Northeast San Gabriel



5556



23115



Unincorporated - Padua Hills



35



16279



Unincorporated - Palmdale



239



28385



Unincorporated - Palos Verdes Peninsula



107



17230



Unincorporated - Pearblossom/Llano



392



20041



Unincorporated - Pellissier Village



353



57027



Unincorporated - Placerita Canyon



22



4783



Unincorporated - Pomona



164



8462



Unincorporated - Quartz Hill



3735



28940



Unincorporated - Rancho Dominguez



1111



41751



Unincorporated - Roosevelt



256



27497



Unincorporated - Rosewood



490



38103



Unincorporated - Rosewood/East Gardena



494



41408



Unincorporated - Rosewood/West Rancho Dominguez



1264



37608



Unincorporated - Rowland Heights



11728



22986



Unincorporated - San Clemente Island



0



0



Unincorporated - San Francisquito Canyon/Bouquet Canyon



42



4895



Unincorporated - San Jose Hills



7404



36615



Unincorporated - San Pasqual



83



4079



Unincorporated - Sand Canyon



58



18831



Unincorporated - Santa Catalina Island



753



282022



Unincorporated - Santa Monica Mountains*



3611



19392



Unincorporated - Saugus



407



262581



Unincorporated - Saugus/Canyon Country



106



29775



Unincorporated - South Antelope Valley



108



23736



Unincorporated - South El Monte



716



39889



Unincorporated - South San Gabriel



2683



30323



Unincorporated - South Whittier



20230



34160



Unincorporated - Southeast Antelope Valley



227



29065



Unincorporated - Stevenson Ranch



5459



26037



Unincorporated - Sun Village



2077



34410



Unincorporated - Sunrise Village



495



38194



Unincorporated - Twin Lakes/Oat Mountain



401



24186



Unincorporated - Val Verde



1002



30281



Unincorporated - Valencia



866



28190



Unincorporated - Valinda



8895



38060



Unincorporated - View Park/Windsor Hills



3323



28560



Unincorporated - Walnut Park



7118



44093



Unincorporated - West Antelope Valley



167



11052



Unincorporated - West Carson



7256



32853



Unincorporated - West Chatsworth



4



33333



Unincorporated - West LA



736



77311



Unincorporated - West Puente Valley



3837



39014



Unincorporated - West Rancho Dominguez



453



33333



Unincorporated - West Whittier/Los Nietos



9921



36847



Unincorporated - Westfield/Academy Hills



226



17385



Unincorporated - Westhills



178



21216



Unincorporated - White Fence Farms



870



23622



Unincorporated - Whittier



909



24022



Unincorporated - Whittier Narrows



69



575000



Unincorporated - Willowbrook



15734



45066



Unincorporated - Wiseburn



1759



29185



?- Under Investigation



81309



?



*? --Case and death numbers include cases identified among persons detained at correctional facilities located in the city/community



?



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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.

?

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

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