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When Can Los Angeles County Move Into The Next Tier Of Reopening?

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Los Angeles County Reopening

As COVID-19 cases in Los Angeles County continue to decline, the county remains in the most-restrictive “purple” tier of the California Blueprint for a Safer Economy. 

Since the blueprint went into effect in August of 2020, L.A. County has remained in the “purple” tier, meaning there is a widespread risk of COVID-19 transmission, according to the state.

In order to move into the next tier, which is “red” or substantial transmission, Los Angeles County must remain below the required seven COVID-19 cases per 100,000 residents and a testing positivity rate of 8% for at least two weeks. 

As of Wednesday, L.A. County has an average of 12.3 cases per 100,000 residents and a 5.1% seven-day average positivity rate, according to the state’s website. 

A third metric also must be met for larger counties, the health equity quartile, to ensure that the test positivity rates in its most disadvantaged neighborhoods do not significantly lag behind its overall county test positivity rate.

In Los Angeles County, the equity testing rate is 7.5%, just below the required 8% to move into the red tier.

To meet all three requirements, L.A. County only has to lower the average number of cases, according to the state. 

What Can Reopen in the Red Tier?

Once the threshold is met for two weeks, the county is expected to move into the next tier which allows additional businesses to reopen, upon approval from the L.A. County Department of Public Health.

Middle and high schools can open for grades 7-12 once the county is in the red tier and the campuses also implement the school reopening guidelines.

Students from kindergarten to sixth grade were just recently allowed to return for in-person learning, once L.A. County met the required case requirement.

The threshold for grades 7-12 to return is seven cases per 100,000 residents, with L.A. County remaining above that guideline as of Wednesday.

In addition to schools, more businesses are allowed to reopen in the red tier.

Gyms and fitness centers can open indoors with 10% maximum capacity, according to the guidance. 

Movie theatres are also allowed to open indoors with 25% maximum capacity or 100 people, whichever is fewer. 

Museums, zoos and aquariums can also reopen in the red tier at 25% capacity. The current purple tier allows these businesses to operate outdoors. 

Indoor dining can be allowed under the next tier, however, all of these changes are subject to the approval of the L.A. County Department of Public Health.

Once Los Angeles County moves into the red tier, the county health order must be modified to allow any changes.

Local government bodies, such as counties and cities, are allowed to be more restrictive than the state guidelines, not less restrictive. 

The most notable example of a more restrictive health order in L.A. County is the previous ban on outdoor dining. 

The Board of Supervisors voted in November to keep the outdoor dining restrictions after the state allowed restaurants to operate “al fresco.”  

In January following the winter holidays, the health officer order was then modified to align with the state guidelines to allow outdoor dining in L.A. County. 

As COVID-19 cases continue to decline, Los Angeles County is nearing the criteria needed to move into the next tier of reopening.

Cases have declined an estimated 90% since the peak of the winter surge in January, according to the Department of Public Health.

The seven-day average number of daily cases peaked at more than 15,000 cases on Jan. 8 and has now dropped to 1,600 a day, according to the department.

“This significant drop in case numbers reflects actions and choices taken by millions of residents, workers and employers,” said public health officials. 

In order to continue the decline, Public Health is urging residents to continue following COVID-19 prevention measures. 

For more information on the Blueprint for a Safer Economy, visit here

Coronavirus

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

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COVID19 Vaccine Los Angeles County (1)

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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