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L.A. County To Once Again Prioritize Second Doses Of COVID-19 Vaccine Next Week

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With COVID-19 vaccine supplies still limited, Los Angeles County will again reserve the majority of its available vaccinations next week to provide second doses for those ready to receive them, with county-operated large-scale sites exclusively administering second doses, health officials announced.

“Next week the majority of appointments at our vaccinations sites will continue to be for second doses,” said Dr. Paul Simon, chief science officer for the L.A. County Department of Public Health said Friday. “We will only be providing second doses at our Mega-POD (point of dispensing) sites.”

The county-operated Mega-PODs are at the Pomona Fairplex, Magic Mountain, the Forum, the County Office of Education in Downey and Cal State Northridge.

He said first doses will be available at other locations, primarily at health centers, pharmacies “and other providers that serve the areas hardest hit by the COVID-19 pandemic.”

The county has been receiving roughly 200,000 doses each week, although the actual amount has varied wildly week-to-week, making advance planning for reservations difficult.

Supplies were so limited this week, that the city of Los Angeles was forced to close the Dodger Stadium vaccination site and four other locations through the weekend because it exhausted its supply by Thursday afternoon.

“We share their frustration,” Simon said. “We’re all frustrated. We know that we could do much more if we had more doses. For example, we’re now receiving about 200,000 doses each week, and as we’ve surveyed all of our providers, we’re confident that we could administer up to 600,000 doses a week. So we have much, much greater capacity if we can get the available vaccine.”

Simon and county Health Officer Dr. Muntu Davis both said increasing supplies will be critical as more people become eligible for the shots — noting that the state plans to expand eligibility next month to all people aged 16 or over who have underlying medical conditions or disabilities that make them highly susceptible to death or severe illness from COVID.

Davis recognized the generally improving downward trends in daily cases, but stressed that while the numbers are getting better, they’re still high, and “the risk of running into someone with COVID-19 who may not know it is still very high.”

The county reported another 137 COVID deaths on Friday, while Long Beach health officials announced 14 fatalities and Pasadena one, lifting the overall death toll to 18,804. Another 3,497 new cases were also confirmed by the county, along with 124 by Long Beach and 29 by Pasadena, raising the cumulative total from throughout the pandemic to 1,161,926.

The county also reported another 15 cases of multisystem inflammatory syndrome in children, or MIS-C, raising the overall total to 90, including one death. Health officials noted there has been a 35% increase in the number of MIS-C infections locally over the past two weeks.

The syndrome generally develops in children after they had COVID-19, although it has occasionally affected patients with no known prior infection. According to state figures, there were 3,426 people hospitalized in the county due to COVID as of Friday, with 1,032 people in intensive care. In early January, there were more than 8,000 people hospitalized due to the virus.

He urged people to continue adhering to protocols such as masking and physical distancing. He acknowledged changes that were formalized this week, allowing a resumption of indoor church services with limited capacity and limits on activities during services.

But he stressed that despite the change, “it’s still safer for places of worship to hold outdoor and remote services only. These are the safest options for those at high risk of severe illness from COVID-19 and those that live with them.”

In terms of vaccines, Simon said that most recent figures show 1,345,949 doses have been administered in the county, with 1,047,074 of the first doses. A total of 13.5 % of the county’s population aged 16 and over have received at least one dose, and 3.8% of that population are fully vaccinated.

Coronavirus

L.A. County Sees Increase In COVID-19 Cases Among Staff, Residents At Nursing Facilities

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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

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California To Require State, Health Care Workers To Show Proof Of Vaccination Or Testing

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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. 

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Los Angeles County COVID-19 Cases Increase 80% In One Week

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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.

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