COVID-19 Hospitalizations In LA County Dip, But Almost 90 New Deaths Reported
LOS ANGELES (CNS) – The number of people hospitalized due to COVID-19 in Los Angeles County continues trending slowly downward, while the county has announced key progress in its vaccination program.
According to the county Department of Public Health, nearly 99% of the skilled nursing facilities in the county have administered first doses of the vaccine to residents and staff. The five remaining nursing homes will be administering shots this week.
Completing those vaccinations will be a key step in advancing the program to more residents. County Board of Supervisors Chair Hilda Solis issued an order late Monday making COVID-19 vaccines available to anyone 65 and older starting Thursday — despite health officials’ concerns about the supply of doses.
The county reported 88 more COVID-19 deaths and 9,927 new infections Monday, noting that the figures could be artificially low due to lags in reporting from the weekend and the Martin Luther King Jr. holiday.
The new deaths, along with one reported by health officials in Pasadena, lifted the county’s overall death toll to 13,937. Los Angeles County’s new cases, along with 107 confirmed by Pasadena, raised the cumulative number of cases confirmed in the county since the pandemic began to 1,024,297.
According to the state, there were 7,322 people hospitalized due to COVID as of Monday, continuing a downward trend from the past week. Hospitalizations peaked at more than 8,000 in early January, putting pressure on hospitals across the county, forcing ambulances to wait hours to offload patients and prompting medical centers to care for patients in gift shops and cafeterias.
But while the population of hospitalized COVID patients has been trending downward, intensive-care units remain packed with virus victims. According to the state, there were 1,728 COVID patients in ICUs in the county, which has about 2,500 licensed ICU beds.
Health officials have said in recent weeks that about two-thirds of ICU patients in the county are being treated for COVID, leaving little room for people in need of ICU care for other reasons.
Authorities have warned that while new hospital admissions had appeared to level off, the numbers could again shoot upward as people who were infected over the Christmas and New Year’s holidays begin developing symptoms and requiring medical care.
Exacerbating the problem is the recently discovered COVID-19 variant that was first detected in the United Kingdom but is now spreading in domestically. The variant does not make people sicker, but it is far more easily transmitted from person to person, meaning the county’s already high transmission rate could jump even higher.
Meanwhile, a new strain of the coronavirus has been found in more than one-third of COVID-19 cases among patients at Cedars-Sinai Medical Center and may be contributing to the acceleration of the recent surge of cases across Southern California, according to a study released Monday.
The strain, which the investigators designated as CAL.20C, is believed to be in part responsible for the dramatic increase in cases over the last two months. The Cedars-Sinai findings did not indicate whether the strain is more deadly than current forms of the coronavirus.
CAL.20C is distinct from the virus version identified in Britain known as B.1.1.7 that is spreading in the U.S. and believed to be highly transmissible.
In Southern California, B.1.1.7 has been found in scattered coronavirus cases in Los Angeles, San Diego and San Bernardino counties. In contrast, the CAL.20C strain was identified in 36.4% of cases in the Cedars-Sinai study.
CAL.20C includes a virus variant the California Department of Public Health reported Sunday based on data submitted by Cedars-Sinai and other investigators.
This variant, dubbed L452R, is one of five recurring mutations that constitute the CAL.20C strain, which is propagating across the country, starting in Los Angeles County.
“The recent surge in COVID-19 positive cases in Southern California coincides with the emergence of CAL.20C,” said Dr. Eric Vail, assistant professor of pathology and director of molecular pathology in the Department of Pathology and Laboratory Medicine at Cedars-Sinai.
With at least 10% of COVID patients requiring hospitalization, higher case numbers will translate into higher hospitalization numbers, and ultimately, more deaths.
Increasing fatalities due to the virus prompted a grim move on Sunday by Southland air-quality regulators, who lifted the cap on the number of bodies local crematories could cremate. Crematoriums normally operate under a limit designed to reduce the impact of the cremations on air quality.
Los Angeles County crossed the 1 million mark in cumulative cases during the pandemic over the weekend. Although that milestone represents about one-tenth of the county’s overall population, modeling released last week estimated that as many as one-third of residents have actually been infected at some point, with many of them never knowing it but still capable of spreading the virus to others.
The county is working to ramp up vaccination efforts, with plans to open five large-scale vaccine sites on Tuesday. They will be in addition to the large site opened by the city at Dodger Stadium on Friday, and 75 smaller sites the county is already operating.
Solis’ decision to make the shots available to people 65 and older is in line with guidance released last week by Gov. Gavin Newsom. But it flies in the face of advice from county health officials, who wanted to wait until vaccinations of front-line health care workers were completed before offering limited vaccine supplies to a wider array of people.
Dr. Paul Simon, chief science officer for the county Department of Public Health, said that as of Thursday, the county had administered more than 279,000 total doses of vaccine to health care workers and staff and residents of skilled nursing and long-term care facilities. He said the county has administered 44% of the vaccines it has received for use as first doses in the two-dose regimen, along with 30% of those earmarked for use as second doses.
“The remaining doses have either been distributed to our partner vaccination providers or have been allocated for use over the next several weeks,” Simon said.
Simon said he sympathized with people frustrated at the slow pace of getting the vaccines administered — particularly among people aged 65 and older, who are already receiving vaccines in other jurisdictions that are deeper into the distribution process. Los Angeles County does not anticipate vaccinating those people until at least February, since it is expected to take until then to finish vaccinating health care workers.
“We too want to expand vaccinations as quickly as possible to those 65 and older,” Simon said. “The major barrier at this time is the lack of adequate supply of vaccine. We are very hopeful that additional vaccine will arrive soon so we can begin vaccinating seniors in the next several weeks. We recognize seniors and others are understandably anxious and in many cases frustrated about the delay in receiving vaccine. Please know that we are committed to expanding access to the vaccine as quickly as possible.”
The Board of Supervisors is scheduled to meet in closed session Tuesday morning to discuss a variety of topics. The board was expected last week to discuss possible new health restrictions — such as closing indoor malls and other non-essential retail businesses — but took no immediate action. It was unclear if the topic would be discussed at Tuesday’s meeting.