As barbershops and nail salons reopen in Los Angeles County, public health officials are still urging residents and businesses to follow cautionary measures to curb the spread of COVID-19.
On Monday, the Los Angeles County Department of Public Health (LADPH) modified the county health order to align with the state after the California stay-at-home order was lifted, according to Dr. Barabara Ferrer, director of the department.
Immediately following the announcement Monday afternoon, personal care services, such as barbershops, salons and nail care businesses, were allowed to operate indoors at 25% capacity.
Cardrooms and family entertainment centers are also allowed to open at 50% capacity outdoors, with museums, zoos and aquariums.
Starting Friday, outdoor dining is reopening in Los Angeles County, according to the LADPH.
Ferrer stressed that COVID-19 remains rampant, and businesses and residents must adhere to infection-control restrictions.
“This would not be the time for people to think that because we’re reopening, things are looking rosy here in L.A. County,” Ferrer said to the Board of Supervisors Tuesday. “We still have a lot of people in our hospitals. We still have a lot of people passing infections from themselves to others. Many of them are asymptomatic. And unfortunately, we’ll see a lot more people die over the next few weeks. So we’re going to have to ask everyone to really stay with this program.”
County health inspectors are prepared to issue citations to reopening businesses that aren’t following restrictions, such as capacity limits and face-covering requirements, Ferrer said
“We just don’t have any leeway here to make a lot of mistakes,” she said. “We have to really stay very focused on doing this right as we’re doing the reopenings.”
Ferrer said she will be holding briefings Wednesday with restaurant operators and employee unions to review “`additional safety measures” that will be required of restaurants reopening. She did not provide specifics on those requirements, but the county previously restricted eateries to 50% of outdoor capacity and mandated that servers wear both masks and face shields.
Fitness centers are expected to still be restricted to outdoor operations only. The move also again permits outdoor gatherings of people from up to three different households, with such get-togethers restricted to 15 people.
The county still requires non-essential retail businesses to be closed between 10 p.m. and 5 a.m., but that restriction may be lifted Friday when the new health order is released.
Supervisor Janice Hahn on Tuesday echoed Ferrer’s warning about adhering to health restrictions as businesses reopen.
“I hope people don’t go crazy this weekend by doing everything possible — nails, hair, eating out,” Hahn said. “I think we should (reopen) carefully, which is to keep reminding people that it is still a scary time to be in the public because of this virus.”
Ferrer reiterated that the county’s COVID-19 numbers have been improving dramatically throughout January, noting that the average number of new cases has dropped from about 15,000 per day to about 7,000 per day, and the county is expected to announce less than 6,000 new cases Tuesday. She said hospitalizations have dropped from 8,000 per day about 6,000 per day.
The only metric that has remained elevated is deaths, with the county last week averaging 213 fatalities from COVID-19 per day. Ferrer noted that the deaths are always a lagging statistic that follows rising case and hospitalization numbers, so fatalities are likely to remain high through the rest of the month thanks to the December surge in cases.
“We’re still going to see high numbers of deaths for a couple of weeks to come, but I’m hoping that once we get into the month of February our death rates will also come down significantly,” she said.
The state’s regional stay-at-home order was imposed in Southern California Dec. 6 when intensive-care unit capacity in the 11-county area dropped below 15%. The regional capacity subsequently dropped to an adjusted 0%.
State officials said Monday that with hospitalization numbers trending downward, four-week projections now indicate ICU capacity will rise above the 15% threshold, even though the current regional capacity is still listed at 0%. In fact, the state estimates the Southern California ICU capacity will reach 33.3% by Feb. 21.
The tiers are based on new COVID-19 cases and testing positivity rate, with Los Angeles County far exceeding the criteria for Tier 2.
As of Tuesday, L.A. County has 95.6 cases per 100,000 residents and a seven-day average test positivity rate of 13.9%, according to the state.
In order to move to the next tier, the county must be below 7 cases per 100,000 residents and 8% testing positivity rate.
Note: City News Service contributed to this report.
L.A. County Sees Increase In COVID-19 Cases Among Staff, Residents At Nursing Facilities
Los Angeles County is now experiencing an increase in cases among staff and residents at skilled nursing facilities, public health officials said Tuesday.
The rise is in part due to the highly transmissible Delta variant and a small number of post-vaccination infections among those fully vaccinated, according to the L.A. County Department of Public Health.
Currently, 86% of residents and 85% of staff at skilled nursing facilities are fully vaccinated. For the week ending July 18, 33 people tested positive for COVID-19: six new cases among residents, and 27 new cases among staff.
For the previous weeks, an average of 22 new cases were reported among staff and residents at skilled nursing facilities.
Masks have consistently been required in all healthcare settings, including skilled nursing facilities, regardless of vaccination status. Routine testing of staff and residents is also required at skilled nursing facilities, and there are stringent infection control directives, according to the department.
On Tuesday, Public Health confirmed 2,293 new cases of COVID-19. To date, the department has identified 1,307,970 positive cases of COVID-19 across all areas of L.A. County and a total of 24,704 deaths.
There are 1,138 people with COVID-19 currently hospitalized and 22% of these people are in the ICU. This is an increase of 313 daily hospitalizations since last Tuesday.
“Residents at skilled nursing facilities are often medically fragile and throughout this pandemic have been at great risk for serious illness and death from COVID-19. Thankfully, because of their high COVID-19 vaccination rates and infection control measures at facilities, we are not seeing dramatic increases in COVID-19 cases among staff and residents at skilled nursing facilities, nor have we seen significant increases in deaths,” said Dr. Barbara Ferrer, director of public health in a statement. “In order to ensure a continued high level of protection during this surge, staff and residents not yet vaccinated should do so. And we ask everyone who plans to visit someone in a skilled nursing facility to mask up and be fully vaccinated to prevent transmission to very vulnerable residents.”
Anyone 12 and older living or working in L.A. County can get vaccinated against COVID-19. For more information, visit here.
California To Require State, Health Care Workers To Show Proof Of Vaccination Or Testing
All California state employees, as well as workers in health care and high-risk congregate settings, must show proof of full vaccination or be tested at least once per week, Governor Newsom announced Monday.
The new policy for state workers will take effect on Aug. 2 and testing will be phased in over the next few weeks. The new policy for health care workers and congregate facilities is set to take effect on Aug. 9, and health care facilities will have until Aug. 23 to come into full compliance.
Unvaccinated workers will be subject to at least weekly COVID-19 testing and will be required to wear appropriate personal protection equipment (PPE). This requirement also applies to high-risk congregate settings, including senior residential facilities, homeless shelters and jails.
“We are now dealing with a pandemic of the unvaccinated, and it’s going to take renewed efforts to protect Californians from the dangerous Delta variant,” said Newsom in a statement. “As the state’s largest employer, we are leading by example and requiring all state and health care workers to show proof of vaccination or be tested regularly, and we are encouraging local governments and businesses to do the same.”
Despite California leading the nation in vaccinations, with more than 44 million doses administered and 75% of the eligible population has received at least one dose, the state is seeing increasing numbers of people who refused to get the vaccine being admitted to the ICU and dying.
“The Delta variant is up to 60% more infectious than the Alpha strain but many times more infectious than the original COVID-19 strain. If you have been waiting to get vaccinated, now is the time,” said Health and Human Services Secretary Dr. Mark Ghaly in a statement.
As of last week, California’s statewide case rate more than quadrupled from a low in May of 1.9 cases per 100,000 residents a day to at least 9.5 cases per 100,000.
The vast majority of new cases are among the unvaccinated, with 600% higher case rates among the unvaccinated than for those who are vaccinated, according to the state.
Los Angeles County COVID-19 Cases Increase 80% In One Week
Los Angeles County continues to see a rapid rise in COVID-19 transmission countywide with cases doubling over the last 10 days as the Delta variant spreads.
The Los Angeles County Department of Public Health confirmed 2,767 new cases of COVID-19 on Thursday an 80% increase over last week, according to the department.
On Friday, 3,058 additional cases were reported, marking the third day in a row with more than 2,500 cases reported in a day, according to Public Health.
The County’s daily average case rate, with a 7-day lag, is now 12.9 cases per 100,000 people, an increase from last week’s rate of 7.1 cases per 100,000.
There are 645 people with COVID-19 currently hospitalized and 22% of these people are in the ICU. Last week, there were 406 people hospitalized with COVID-19 illness.
“Public Health has detailed the rise of the Delta variant among strains sequenced in the Los Angeles County area for weeks,” department officials said. “While emerging data affirms that fully vaccinated people are well protected from severe infections with Delta variants, people with only one vaccine are not as well-protected, and there is increasing evidence that a small number of fully vaccinated individuals can become infected and may be able to infect others.”
From July 11 to July 17, the number of sequenced Delta variants was 201, 84% of all sequences collected that week.
This is consistent with the rise of Delta nationwide: earlier this week, the Centers for Disease Control and Prevention (CDC) estimated that Delta strains accounted for 83% of circulating COVID-19. Given that about 4 million residents in L.A. County are not yet vaccinated, the risk of increased spread of this variant within L.A. County remains high, according to Public Health.
As of July 18, more than 10,845,531 doses of a COVID-19 vaccine have been administered to people across Los Angeles County. Of these, 6,013,569 were first doses and 4,831,962 were second doses.
88% of L.A. County seniors 65 and over, 70% of residents 16 and over, and 69% of residents 12 and over have received one dose of a vaccine including 39% of L.A. County teens between the ages of 12 and 17.
Of the nearly 10.3 million L.A. County residents, including those who are not yet eligible for the vaccine, 52% are fully vaccinated and 59% have received at least one dose.
“As more people have gotten vaccinated, the proportion of total cases that are among those vaccinated has also increased,” public health officials said. “This is to be expected because as more people are vaccinated, the number of fully vaccinated people becoming infected will increase.”
In June, fully vaccinated people represented 20% of all cases diagnosed among L.A. County residents, while unvaccinated and partially vaccinated people accounted for 80% of cases.
Public Health estimates if the 52% of County residents that are fully vaccinated were not vaccinated, the number of new cases would perhaps be double because everyone would instead have the same risk of infection as unvaccinated people do. While County numbers have been going up, they would be much higher if there weren’t as many people fully vaccinated.
In Los Angeles County, everyone 2 years of age and older must wear a mask in all indoor public places, regardless of their vaccination status.
“While the County does not require masking at private gatherings where unvaccinated or immunocompromised people are present, universal masking in these scenarios, particularly indoors, is the best way to protect everyone,” department officials said.
To find a vaccination site in Los Angeles County, visit here.
Note: This story has been updated with new case data from the Department of Public Health.