County of L.A. Public Health - Update 1/11/20 - COVID-19 Vaccine Updates

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January 11, 2021

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

1/11/21 

Latest Updates

Vaccines continue being administered in Los Angeles County. As of late last week, we had received a total of 275,795 doses of the Pfizer vaccine and 100,556 doses have been administered to our frontline health care workers at our acute care hospitals. We also have begun to administer the 2nd dose of the Pfizer vaccine and as of yesterday, 1,602 healthcare workers are fully vaccinated.

 

We have received 215,200 Moderna doses, of which 31,915 had been administered to staff and residents at skilled nursing facilities, EMTs and paramedics, and to healthcare workers at clinics. This includes healthcare workers at urgent care and primary care clinics, at intermediate and home health care facilities and services, as well as healthcare field workers who face a high risk of exposure. At this point, we have administered 32% of the vaccines we have received as first doses.

 

Now that the holidays are behind us, the pace of vaccinations is picking up as we expand the number of people trained to administer these vaccines and we continue to open additional locations to administer vaccines to priority group healthcare workers who don’t work at acute care hospitals. 

 

This week, additional vaccination sites will be opening across the county for frontline healthcare workers with appointments. Healthcare workers include clinical staff such as doctors, nurses, and therapists as well as people who work in other areas like laboratories and hospital environmental services. Currently, vaccination is only available to the healthcare workers who have direct or indirect contact with patients or infectious materials. Eligible healthcare workers can sign up for an appointment, and find out what verifications are needed, by going to Healthcare worker signup website.

 

PLEASE DO NOT REGISTER FOR AN APPOINTMENT IF YOU ARE NOT A PRIORITY GROUP HEALTHCARE WORKER. Doing so will take an appointment slot away from the high-risk healthcare workers.

 

People who ARE NOT an eligible healthcare worker WILL BE TURNED AWAY at the vaccination site if you don’t have the required verification documents, which include the below.

 

Table 1

Vaccination Distribution Phases

 

Many people are interested in getting vaccinated. However, Public Health is proceeding with administering vaccinations within the priority groups identified by the Centers for Disease Control & Prevention (CDC), with additional guidance provided by the state.  We understand that some people may feel they should be or are in these priority groups. However, there are clear definitions that we have posted on our website with very specific groups according to the priority tiers.

 

Note that these timelines are estimates and may change according to factors such as vaccine supply and the state prioritization requirements. Phases and tiers will also overlap.

 

COV VAX

*Proposed but not voted on by the CDC Advisory Committee on Immunization Practices (ACIP) and may be modified by CDC and/or CDPH

 

In the meantime, please continue to wear a face covering over your nose and mouth, physically distance, and avoid gathering with people outside your household, even after you are vaccinated.

Vaccinate

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


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12/30/20

The significant increases in COVID-19 cases, associated hospitalizations, and premature deaths across the United States, the State of California, and within Los Angeles County, have necessitated revisions to the Health Officer Order and two accompanying Appendices. These revisions include a mandatory quarantine order for those persons entering into Los Angeles County from outside the Southern California Region after non-essential travel. This message is to alert you to these three revised documents, which are posted on our website :

  1. County Health Officer Order, Temporary Targeted Safer at Home Health Officer Order for Control of COVID-19: Tier 1 Substantial Surge Updated Response, dated December 30, 2020
  2. Protocol for Social Distancing: Appendix A, dated December 29, 2020
  3. Mandatory Directive on Travel: Appendix W, dated December 30, 2020

Revisions to the Health Officer Order include the following:

Except as provided in Appendix W, persons arriving in the County of Los Angeles from anywhere outside of the Southern California Region on or from non-essential travel, including returning County of Los Angeles residents, must self-quarantine for 10 days after arrival. Such persons must stay at home or another place of temporary shelter and away from contact with others, including those in one’s household (unless they are also under quarantine), for a period of 10 days.

Quarantine may end after Day 10 if the traveler(s) never had any symptoms and they continue to monitor themselves for COVID-19 symptoms for 14 days after arrival. If such quarantined person develops symptoms of or tests positive for COVID-19 during the quarantine period, they must isolate themselves as required by the Health Officer's Order for Isolation. For purposes of this Revised Temporary Order, non-essential travel is defined as travel or transportation that is conducted mainly for tourism, recreation, or visitation purposes. 

The Southern California Region (Region) is defined as the counties of Imperial, Inyo, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, and Ventura. 

Appendix A is the Protocol for Social Distancing. Revisions to Appendix A include added definitions and multiple updates made to incorporate universal physical distancing, face covering use, and other infection control protocols for all businesses, facilities, and sites.

Appendix W is the Mandatory Directive on Travel. This Directive establishes the County Health Officer’s rules for mandatory quarantine after non-essential travel.  There some limited exceptions to the required mandatory quarantine after travel.

The Order remains in effect for as long as the State Health Officer’s Regional Stay at Home Order remains in effect in the Southern California Region.


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12/27/20 

A Revised Temporary Targeted Safer at Home Health Officer Order for Control of COVID-19: Tier 1, Substantial Surge Updated Response (Order) was Issued December 27, 2020, and can be found here. The Order was revised to extend its duration for as long as the State Health Officer’s Regional Stay At Home Order remains in effect in the Southern California Region.
 
In addition, Protocols for Shopping Center Operators: Appendix E was updated on 12/27/2020 to clarify the requirements for both indoor and outdoor seating at shopping centers. A copy of the revised protocol with details on the changes can be found here.
 
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12/18/20 

This is to provide you with the updated blanket County Health Officer Orders (HOO) and instructions for quarantine and isolation. Public Health is in the process of reviewing and revising all of the protocols and guidance documents to ensure they are in accordance.  
The revised documents will be posted on Public Health’s website, as we continue to make these updates.
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12/7/20 

Please note the Revised Targeted Temporary Safer at Home Health Officer Order for Control of COVID-19 (12/6/20), which went into effect in Los Angeles County last night at 11:59 PM, and will go to at least 11:59 PM (PST) on December 27, 2020. This Revised Temporary Order has been updated and is issued as a response to the sustained and substantial rise in COVID-19 cases, hospitalizations, and deaths.
 
A list of the businesses, recreational sites, commercial properties, and activities which are closed are listed on page six of the Revised Temporary Order. To align and comply with the State’s December 3, 2020 Regional Stay Home Order (PDF)in addition to the businesses that were already closed, the Health Officer orders the closure of the following:
  • Family entertainment centers for all activities
    • This includes (but is not limited toclosure of miniature golf, go-karts, and batting cages
  • Indoor and outdoor playgrounds
  • Museums, zoos, and aquariums
  • Personal Care Services, including (but not limited to) closure of hair salons and barbershops
  • Cardrooms
 
This order may be extended beyond December 27, 2020  if the projections of the Southern California Region’s total available adult ICU bed capacity is less than 15%.

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11/20/20 
The Governor and the County of Los Angeles Department of Public Health issued a limited Stay at Home Order on Friday, November 20, 2020. 

Effective Friday, November 20, Los Angeles County has tightened pandemic safeguards and restrictions as COVID-19 cases and hospitalizations continue to increase significantly. These safeguards and restrictions protect the public health and safety of our residents, and their ability to be served in our hospitals. View the revised health officer order effective on 11/20 here
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10/25/20
Please see the revised County Health Officer Order (HOO) here: “Reopening Safer at Work and in the Community for Control of COVID-19: Blueprint for a Safer Economy- Tier 1,” dated October 23, 2020.” The order was revised to:
  • permit batting cages, miniature golf, and go-cart racing for outside services;
  • permit personal care establishments to offer services indoors with modifications;
  • clarify permitted food services at indoor malls and shopping centers;
  • increase the percentage of students with IEPs and ELs and other high-need students allowed at any one time on a K-12 campus from 10% to 25%; and
  • permit schools to reopen TK-2ndgrades for classroom instruction only with a waiver application approved by Public Health.
 
This HOO as well as other pertinent information can be found on the LA County COVID-19 website.   Thank you for your ongoing efforts to keep Los Angeles County residents safe and healthy.


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10/20/20 

Public Health Reports 10 New Deaths and 953 New Positive Cases of COVID-19

The Los Angeles County Department of Public Health (Public Health) has confirmed 10 new deaths and 953 new cases of confirmed COVID-19. Today’s low number of cases may be a result of several missing reports from yesterday evening. To date, Public Health has identified 288,136 positive cases of COVID-19 across all areas of L.A. County and a total of 6,863 deaths. 

Los Angeles County remains in Tier 1, the most restrictive tier, in the state’s Blueprint for a Safer Economy. The tiered frameworkplaces counties in one of 4 tiers depending on three metrics measuring community transmission and health equity. Options for sector re-openings, including schools, and permitted activities are aligned with each Tier. The County’s level of community transmission is still too high to advance to the next tier.  

This week, Public Health updated the Health Officer Order to align with State guidance on private gatherings, which allow limited private gatherings with three or fewer households. All private gatherings must occur outdoors. Attendees must wear a cloth face covering when they are together except when they are eating or drinking and keep at least six feet of physical distance. Food must be served in single-serve disposable containers, and the duration of the gathering should be two hours or less.

It is recommended that if residents do gather with two other households, that they do so with the same households each time, creating a quasi-bubble that can reduce the risk of spreading the virus to others. A single household or living unit does not include institutional group living situations such as dormitories, fraternities, sororities, or residential care facilities. Nor does it include commercial group living arrangements such as boarding houses, hotels or motels.

It is critically important that residents not attend any private gatherings if they are experiencing symptoms of illness, have tested positive for COVID-19 or if they have been exposed or likely have been exposed to someone who is positive.

The highest number of cases among all age groups in L.A. County are in residents between the ages of 30 and 49 years old at 34% of all cases. The second highest are among residents between the ages of 18 and 29 years old with 25% of all cases. However, 74% of COVID-related deaths have occurred in residents over the age of 65.

There are 746 people currently hospitalized with COVID-19 and 24% of these people are in the ICU.

“We know there are people across our community who have suffered tremendous loss. For those of you mourning the passing of a loved one, we wish you healing and peace,” said Barbara Ferrer, PhD, MPH, MEd, Director of Public Health. “To slow community spread of COVID-19 in our county we must all partner together; businesses and residents must do their part and adopt the infection control measures that we know to be effective. Each of us has the opportunity every single day to make the right choices for our health and the health of those around us. If we work together to limit transmission and slow the spread of COVID-19, not only will the County move to a less restrictive tier that allows us to consider additional re-openings, we will save lives.”

Of the 10 new deaths reported today, two people that passed away were over the age of 80 years old, four people who died were between the ages of 65 and 79 years old, two people who died were between the ages of 50 and 64 years old, and one person who died was between the ages of 30 and 49 years old. One death was reported by the City of Long Beach. All nine deaths reported today by Los Angeles County are people who had underlying health conditions.

Ninety-three percent of the people who died from COVID-19 had underlying health conditions. Of those who died, information about race and ethnicity is available for 6,460 people (99 percent of the cases reported by Public Health); 51% of deaths occurred among Latino/Latinx residents, 24% among White residents, 14% among Asian residents, 10% among African American/Black residents, less than 1% among Native Hawaiian/Pacific Islander residents and 1% among residents identifying with other races. Upon further investigation, 39 cases and two deaths reported earlier were not L.A. County residents.

Testing results are available for more than 2,890,000 individuals with 9% of all people testing positive.

The best way to prevent getting and spreading COVID-19 is to put six feet of distance between yourself and people who don’t live in your household, and wear a face covering in public settings and when around people who don’t live in your household. Face coverings protect other people in case you are infected and do not know it, as COVID-19 can spread to others even if someone does not feel sick. Please remember to also wash or sanitize your hands frequently. Isolating when you are positive for COVID-19 and quarantining if you have been exposed to someone who is positive are also important tools in preventing transmission of the virus.

The Reopening Protocols, COVID-19 Surveillance Interactive Dashboard, Roadmap to Recovery, Recovery Dashboard, and additional things you can do to protect yourself, your family and your community are on the Public Health website, www.publichealth.lacounty.gov.

 

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7/24/20 

The Los Angeles County Department of Public Health has launched Angelenos in Action, a voluntary, text-based survey to monitor COVID-19 symptoms across LA County.  The goal of this survey is to fill a data gap where many people with mild symptoms may not seek care or get tested, and hence, not be counted as part in the COVID-19 positive cases. The secondary purpose is to capture potential spikes and trends in real-time to allow Public Health workers to appropriately prepare and allocate resources to affected communities.
 
Our goal is to recruit approximately 20,000 survey participants that are roughly representative of LA County. Anyone who is over the age of 18 years, lives in LA County (including Pasadena and Long Beach), and has a cell phone with texting capabilities is eligible.
 
People can enroll in the voluntary survey either online or by texting “@PROTECT” to 35134 where they will be asked their age group, race/ethnicity, sex, and zip code. Phone numbers will also be collected. Once enrolled, participants will be randomized to 1 day a week, and every week on that day, they will receive a text asking how they are feeling (well or sick). If they respond that they feel sick, we text an additional 2 yes/no questions about specific COVID-19-like symptoms and remind them to call their doctor (or 211 if they don’t have one). No further follow up occurs.
 
The survey is available in both English and Spanish and will run for approximately 20 weeks. The survey itself takes less than 1 minute to complete!
 
Please share these flyers with your teams, community partners, parents and neighbors.  If you have any questions or need additional information, check out http://ph.lacounty.gov/AngelenosInAction or send an email to AngelenosInAction@ph.lacounty.gov.


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7/1/20 

Revised Health Officer Order Requires Closure of Indoor On-Site Dining and Other Indoor Activities

35 New Deaths and 2,002 New Cases of Confirmed COVID-19 in Los Angeles County

The Los Angeles County Health Officer Order will be modified today to align with Gov. Gavin Newsom’s directives and require the closure of:

  • Indoor, in-person dining at restaurants
  • Indoor museums, indoor children’s museums, and indoor operations at zoos and aquariums
  • Cardrooms and satellite wagering facilities

Also, the Health Officer Order requires businesses with three or more known cases of COVID-19 within the workplace over the span of 14 days, to report the outbreak to the Los Angeles County Department of Public Health (Public Health). Employers who have one known case within the workplace must have a protocol that requires that person to self-isolate at home and anyone exposed to self-quarantine.

Bars remain closed and all events and gatherings unless specifically allowed by this Order remain prohibited. Additionally, face coverings and gloves must be worn at fitness facilities at all times.

Los Angeles County continues to see steep increases in community spread of COVID-19. There are 1,889 people currently hospitalized, 27% of these people are confirmed cases in the ICU and 18% are confirmed cases on ventilators. This is the largest number of people hospitalized since early May.

There are 2,002 new cases of COVID-19. This is the fourth consecutive day of new cases over 2,000. And today's number is missing lab reports from one of the larger labs.

“We are thinking every day of the many families who have lost loved ones to COVID-19.  Our hearts go out to you, and we are so sorry for your loss,” said Barbara Ferrer, PhD, MPH, MEd, Director of Public Health. “I know these closures are frustrating and it is heartbreaking to think we are losing ground. These immediate actions give us a chance to regain control over the increased spread. With steep increases in cases and hospitalizations, it is important to act now to prevent as many future cases, hospitalizations and deaths as we can.”

In addition to the 2,002 new cases, Public Health has confirmed 35 new deaths of COVID-19. Twenty-one people who died were over the age of 65 years old, six people who died were between the ages of 41 and 65 years old, and four people who died are between the ages of 18 and 40 years old. Thirty-one people had underlying health conditions including 25 people over the age of 65 years old and six people between the ages of 41 to 65 years old. Two deaths were reported by the City of Long Beach and two deaths were reported by the City of Pasadena.

To date, Public Health has identified 105,507 positive cases of COVID-19 across all areas of LA County, and a total of 3,402 deaths. Ninety-three percent of people who died had underlying health conditions. Of those who died, information about race and ethnicity is available for 3,158 people (99 percent of the cases reported by Public Health); 43% of deaths occurred among Latino/Latinx residents, 27% among White residents, 17% among Asian residents, 11% among African American/Black residents, less than 1% among Native Hawaiian/Pacific Islander residents and 1% among residents identifying with other races. Upon further investigation, 24 cases and two deaths reported earlier were not LA County residents. Testing results are available for nearly 1,120,000 individuals, with 9% of people testing positive.

Everyone should always wear a face covering securely over your nose and mouth and keep six feet apart from others not in your household when out in public. Businesses must continue to follow Public Health directives. Public Health reminds everyone that you remain safer at home.

Earlier this week a Health Officer Order was issued that closes LA County beaches from July 3 through July 6 at 5:00 a.m. to prevent crowded situations that could result in more spread of COVID-19. All public beaches, piers, public beach parking lots, beach bike paths that traverse that sanded portion of the beach, and beach access points will be temporarily closed to the public. The Order also prohibits fireworks displays.

The Reopening Protocols, COVID-19 Surveillance Interactive Dashboard, Roadmap to Recovery, Recovery Dashboard, and additional things you can do to protect yourself, your family and your community are on the Public Health website, www.publichealth.lacounty.gov.

View Revised Health Order here


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6/18/20 
The types of businesses allowed to open on June 19th are:
  • Cardrooms (casinos), satellite wagering facilities, and racetrack onsite wagering facilities.
  • Personal care establishments. These include nail salons, tanning salons, esthetician, skincare, and cosmetology services; electrology; body art professionals, tattoo parlors, and piercing shops; and massage therapy (in non-healthcare settings). The number of persons allowed in these establishments is limited to 50% of the total maximum occupancy.
  • Bars, wineries, and brewery tasting rooms. 
Updated LA County Health Officer Order can be found at http://publichealth.lacounty.gov/media/Coronavirus/.
 
Businesses must follow Public Health protocols:
  • HOO Appendix Q-Reopening Protocol for Cardrooms, satellite wagering facilities, and racetrack onsite wagering facilities
  • HOO Appendix R-Reopening Protocol for Personal Care Establishments
  • HOO Appendix S-Reopening Protocol for Bars, Winery and Brewery Tasting Rooms
View what businesses can and cannot be open here: http://www.publichealth.lacounty.gov/media/Coronavirus/docs/HOO/SaferatHomeOrder_ExamplesofOpenings.pdf
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5/26/20

View here: http://www.publichealth.lacounty.gov/media/Coronavirus/docs/HOO/SaferatHomeOrder_ExamplesofOpenings.pdf?utm_content=&utm_medium=email&utm_name=&utm_source=govdelivery&utm_term=


5/13/20

The County of Los Angeles Department of Public Health is adopting a staged approach, supported by science and public health expertise, to allow certain retail businesses to safely reopen. The requirements below are specific to retail establishments permitted to reopen for curbside pick-up. In addition to the condition imposed on these specific retail businesses by the Governor, these types of businesses must also be in compliance with the conditions laid out in this Checklist for Retail Establishments Opening for Curbside Pickup. 

Please note: This document may be updated as additional information and resources become available so be sure to check the LA County website http://www.ph.lacounty.gov/media/Coronavirus/ regularly for any updates to this document This checklist covers: (1) Workplace policies and practices to protect employee health (2) Measures to ensure physical distancing (3) Measures to ensure infection control (4) Communication with employees and the public (5) Measures to ensure equitable access to critical services. These five key areas must be addressed as your facility develops any reopening protocols. 

Read document here: http://ph.lacounty.gov/media/Coronavirus/docs/HOO/HOO_Safer_at_Home_Order_for_Control_of_COVID_5.13.20_APPENDIX_B.pdf

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4/10/20

The Los Angeles County Health Officer has extended the Safer at Home Order Revised Order (04.10.20) through May 15, 2020. The Health Officer Order will be publicly noticed, as required, by posting on Public Health’s website, posted at the Hall of Administration, provided to members of the public upon request, and disseminated via email. 

Revised provisions include that Essential Businesses must implement a social distancing protocol by April 15th, including a requirement to provide employees with a cloth face covering to wear while performing duties that involve contact with others.

Thank you for all of your ongoing efforts to help protect our communities and keep LA County residents safe.  

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3/27/20: Health Officer Order - Addendum to Safer at Home Order for Control of COVID-19: Temporary Closure of Public Trails and Trailheads, Beaches, Piers, Beach Bike Paths and Beach Access Points.
Download order here.

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3/22/20Download revised County of Los Angeles Health Officer Order, which amends and supersedes the Orders of the County of Los Angeles Health Officer issues on March 16, and 19, 2020. 

The Los Angeles County Department of Public Health (Public Health) is cooperating with the Centers for Disease Control and Prevention (CDC) to respond to recent reports of a novel (new) coronavirus. Coronaviruses are a large family of viruses, some causing respiratory illness in people and others that circulate mostly among animals. Common symptoms in an infected person include fever, cough and shortness of breath or difficulty breathing.

Since its discovery in December 2019, mainland Chinese authorities have identified thousands of human infections, resulting in thousands of deaths associated with this novel (new) coronavirus, which began in Wuhan City, Hubei Province. In addition, novel coronavirus infections have been confirmed in numerous travelers in the United States and a growing list of countries internationally.