COVID-19 and Flu Transmission, Hospitalizations Remain Elevated as Residents Return to School and Work in LA County

COVID-19 and Flu Transmission, Hospitalizations Remain Elevated as Residents Return to School and Work in LA County

With respiratory virus transmission and hospitalizations remaining elevated in Los Angeles County, the Los Angeles County Department of Public Health (Public Health) is asking residents to help limit exposures and take common sense precautions.

Public Health data shows that SARS-CoV-2, the virus that causes COVID-19 is widely circulating in the County, with wastewater concentrations of the virus at 60% of last year’s winter peak, up from 49% the week prior. COVID-19 hospitalizations also remain elevated, with an average of 806 COVID-positive patients per day for the week ending Jan. 6, an increase from 784 the week prior. Los Angeles County’s COVID-19 Hospital Admission Level, as defined by the U.S. Centers for Disease Control and Prevention (CDC), remains in Medium for the second consecutive week at 11.2 new COVID-19 hospital admissions per 100,000 people for data through Dec. 30.

This increase is likely driven in part by the rise of a new COVID-19 strain, JN.1. Local data shows JN.1 is gaining dominance rapidly in Los Angeles County, and CDC modeling data predicts it accounts for 61% of sequenced specimens in Region 9, which includes California, for the two-week period ending Jan. 6.

Flu activity also remains elevated in Los Angeles County. There was an average of 425 influenza-positive patients in the hospital per day for the week ending Dec. 30. For the week ending Dec. 30, 18.3% of specimens tested for influenza at sentinel surveillance laboratories were positive, a slight decline from the previous week yet still nearly double levels seen four weeks ago. Although the decline in the most recent week is an encouraging sign, it is still too soon to tell if flu activity has peaked for this season.

With respiratory viruses expected to remain in circulation for weeks to come, it’s not too late to get the updated COVID-19 and flu vaccines. Both vaccines remain effective at reducing severe illness and are recommended for everyone 6 months and older. Find a vaccination site at myturn.ca.gov.

This week, Public Health released new instructions for COVID-19 cases and close contacts. The notable change is to the amount of time a COVID-19 case is required to isolate, which was made in alignment with updated isolation guidance released by the California Department of Public Health (CDPH) and with Cal/OSHA guidance for workplaces. As a reminder, all individuals who test positive need to wear a well-fitting, high-quality mask for a total of 10 days after their symptoms began or, if they do not have symptoms, the date of their initial positive test, whenever they are around others. This includes individuals who test positive and have no symptoms or only mild symptoms. Under the new instructions, individuals who test positive for COVID-19 and have symptoms can leave isolation once they are fever-free for 24 hours without using fever-reducing medication AND other symptoms are mild and improving, provided they wear a well-fitting high-quality mask when around others for 10 days following symptom onset. Individuals who tested positive for COVID-19 and have no symptoms are not required to isolate provided they wear a well-fitting, high-quality respiratory mask whenever they are around other people for 10 days following their positive test result. It remains strongly recommended that an individual test for COVID-19 prior to ending isolation and extend isolation until day 10 if they continue to test positive. Previous guidance required individuals to isolate for at least five days if they tested positive regardless of symptoms.

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