This dataset contains numbers of COVID-19 outbreaks and associated cases, categorized by setting, reported to CDPH since January 1, 2021. AB 685 (Chapter 84, Statutes of 2020) and the Cal/OSHA COVID-19 Emergency Temporary Standards (Title 8, Subchapter 7, Sections 3205-3205.4) required non-healthcare employers in California to report workplace COVID-19 outbreaks to their local health department (LHD) between January 1, 2021 – December 31, 2022. Beginning January 1, 2023, non-healthcare employer reporting of COVID-19 outbreaks to local health departments is voluntary, unless a local order is in place. More recent data collected without mandated reporting may therefore be less representative of all outbreaks that have occurred, compared to earlier data collected during mandated reporting. Licensed health facilities continue to be mandated to report outbreaks to LHDs. LHDs report confirmed outbreaks to the California Department of Public Health (CDPH) via the California Reportable Disease Information Exchange (CalREDIE), the California Connected (CalCONNECT) system, or other established processes. Data are compiled and categorized by setting by CDPH. Settings are categorized by U.S. Census industry codes. Total outbreaks and cases are included for individual industries as well as for broader industrial sectors. The first dataset includes numbers of outbreaks in each setting by month of onset, for outbreaks reported to CDPH since January 1, 2021. This dataset includes some outbreaks with onset prior to January 1 that were reported to CDPH after January 1; these outbreaks are denoted with month of onset “Before Jan 2021.” The second dataset includes cumulative numbers of COVID-19 outbreaks with onset after January 1, 2021, categorized by setting. Due to reporting delays, the reported numbers may not reflect all outbreaks that have occurred as of the reporting date; additional outbreaks may have occurred that have not yet been reported to CDPH. While many of these settings are workplaces, cases may have occurred among workers, other community members who visited the setting, or both. Accordingly, these data do not distinguish between outbreaks involving only workers, outbreaks involving only residents or patrons, or outbreaks involving both. Several additional data limitations should be kept in mind: * Outbreaks are classified as “Insufficient information” for outbreaks where not enough information was available for CDPH to assign an industry code. * Some sectors, particularly congregate residential settings, may have increased testing and therefore increased likelihood of outbreak recognition and reporting. As a result, in congregate residential settings, the number of outbreak-associated cases may be more accurate. * However, in most settings, outbreak and case counts are likely underestimates. For most cases, it is not possible to identify the source of exposure, as many cases have multiple possible exposures. * Because some settings have been at times been closed or open with capacity restrictions, numbers of outbreak reports in those settings do not reflect COVID-19 transmission risk. * The number of outbreaks in different settings will depend on the number of different workplaces in each setting. More outbreaks would be expected in settings with many workplaces compared to settings with few workplaces.

__Note:__ This dataset is no longer being updated due to the end of the COVID-19 Public Health Emergency. The California Department of Public Health (CDPH) is identifying vaccination status of COVID-19 cases, hospitalizations, and deaths by analyzing the state immunization registry and registry of confirmed COVID-19 cases. Post-vaccination cases are individuals who have a positive SARS-Cov-2 molecular test (e.g. PCR) at least 14 days after they have completed their primary vaccination series. Tracking cases of COVID-19 that occur after vaccination is important for monitoring the impact of immunization campaigns. While COVID-19 vaccines are safe and effective, some cases are still expected in persons who have been vaccinated, as no vaccine is 100% effective. For more information, please see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Post-Vaccine-COVID19-Cases.aspx Post-vaccination infection data is updated monthly and includes data on cases, hospitalizations, and deaths among the unvaccinated and the vaccinated. Partially vaccinated individuals are excluded. To account for reporting and processing delays, there is at least a one-month lag in provided data (for example data published on 9/9/22 will include data through 7/31/22). Notes: * On September 9, 2022, the post-vaccination data has been changed to compare unvaccinated with those with at least a primary series completed for persons age 5+. These data will be updated monthly (first Thursday of the month) and include at least a one month lag. * On February 2, 2022, the post-vaccination data has been changed to distinguish between vaccination with a primary series only versus vaccinated and boosted. The previous dataset has been uploaded as an archived table. Additionally, the lag on this data has been extended to 14 days. * On November 29, 2021, the denominator for calculating vaccine coverage has been changed from age 16+ to age 12+ to reflect new vaccine eligibility criteria. The previous dataset based on age 16+ denominators has been uploaded as an archived table.

__Note:__ This dataset is no longer being updated due to the end of the COVID-19 Public Health Emergency. The California Department of Public Health (CDPH) is identifying vaccination status of COVID-19 cases, hospitalizations, and deaths by analyzing the state immunization registry and registry of confirmed COVID-19 cases. Post-vaccination cases are individuals who have a positive SARS-Cov-2 molecular test (e.g. PCR) at least 14 days after they have completed their primary vaccination series. Tracking cases of COVID-19 that occur after vaccination is important for monitoring the impact of immunization campaigns. While COVID-19 vaccines are safe and effective, some cases are still expected in persons who have been vaccinated, as no vaccine is 100% effective. For more information, please see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Post-Vaccine-COVID19-Cases.aspx Post-vaccination infection data is updated monthly and includes data on cases, hospitalizations, and deaths among the unvaccinated and the vaccinated. Partially vaccinated individuals are excluded. To account for reporting and processing delays, there is at least a one-month lag in provided data (for example data published on 9/9/22 will include data through 7/31/22). Notes: * On September 9, 2022, the post-vaccination data has been changed to compare unvaccinated with those with at least a primary series completed for persons age 5+. These data will be updated monthly (first Thursday of the month) and include at least a one month lag. * On February 2, 2022, the post-vaccination data has been changed to distinguish between vaccination with a primary series only versus vaccinated and boosted. The previous dataset has been uploaded as an archived table. Additionally, the lag on this data has been extended to 14 days. * On November 29, 2021, the denominator for calculating vaccine coverage has been changed from age 16+ to age 12+ to reflect new vaccine eligibility criteria. The previous dataset based on age 16+ denominators has been uploaded as an archived table.

Data is from the California COVID-19 State Dashboard at https://covid19.ca.gov/state-dashboard/ __Note:__ Hospitalization counts include all patients diagnosed with COVID-19 during their stay. This does not necessarily mean they were hospitalized because of COVID-19 complications or that they experienced COVID-19 symptoms. __Note:__ Cumulative totals are not available due to the fact that hospitals report the total number of patients each day (as opposed to new patients).

A. SUMMARY Medical provider confirmed COVID-19 cases and confirmed COVID-19 related deaths in San Francisco, CA aggregated by several different geographic areas and normalized by 2016-2020 American Community Survey (ACS) 5-year estimates for population data to calculate rate per 10,000 residents. On September 12, 2021, a new case definition of COVID-19 was introduced that includes criteria for enumerating new infections after previous probable or confirmed infections (also known as reinfections). A reinfection is defined as a confirmed positive PCR lab test more than 90 days after a positive PCR or antigen test. The first reinfection case was identified on December 7, 2021. Cases and deaths are both mapped to the residence of the individual, not to where they were infected or died. For example, if one was infected in San Francisco at work but lives in the East Bay, those are not counted as SF Cases or if one dies in Zuckerberg San Francisco General but is from another county, that is also not counted in this dataset. Dataset is cumulative and covers cases going back to 3/2/2020 when testing began. Geographic areas summarized are: 1. Analysis Neighborhoods 2. Census Tracts 3. Census Zip Code Tabulation Areas B. HOW THE DATASET IS CREATED Addresses from medical data are geocoded by the San Francisco Department of Public Health (SFDPH). Those addresses are spatially joined to the geographic areas. Counts are generated based on the number of address points that match each geographic area. The 2016-2020 American Community Survey (ACS) population estimates provided by the Census are used to create a rate which is equal to ([count] / [acs_population]) * 10000) representing the number of cases per 10,000 residents. C. UPDATE PROCESS Geographic analysis is scripted by SFDPH staff and synced to this dataset daily at 7:30 Pacific Time. D. HOW TO USE THIS DATASET San Francisco population estimates for geographic regions can be found in a view based on the San Francisco Population and Demographic Census dataset. These population estimates are from the 2016-2020 5-year American Community Survey (ACS). Privacy rules in effect To protect privacy, certain rules are in effect: 1. Case counts greater than 0 and less than 10 are dropped - these will be null (blank) values 2. Death counts greater than 0 and less than 10 are dropped - these will be null (blank) values 3. Cases and deaths dropped altogether for areas where acs_population < 1000 Rate suppression in effect where counts lower than 20 Rates are not calculated unless the case count is greater than or equal to 20. Rates are generally unstable at small numbers, so we avoid calculating them directly. We advise you to apply the same approach as this is best practice in epidemiology. A note on Census ZIP Code Tabulation Areas (ZCTAs) ZIP Code Tabulation Areas are special boundaries created by the U.S. Census based on ZIP Codes developed by the USPS. They are not, however, the same thing. ZCTAs are areal representations of routes. Read how the Census develops ZCTAs on their website. Row included for Citywide case counts, incidence rate, and deaths A single row is included that has the Citywide case counts and incidence rate. This can be used for comparisons. Citywide will capture all cases regardless of address quality. While some cases cannot be mapped to sub-areas like Census Tracts, ongo

Data is from the California COVID-19 State Dashboard at https://covid19.ca.gov/state-dashboard/ __Note:__ Hospitalization counts include all patients diagnosed with COVID-19 during their stay. This does not necessarily mean they were hospitalized because of COVID-19 complications or that they experienced COVID-19 symptoms. __Note:__ Cumulative totals are not available due to the fact that hospitals report the total number of patients each day (as opposed to new patients).

__Note:__ This dataset is no longer being updated due to the end of the COVID-19 Public Health Emergency. The California Department of Public Health (CDPH) is identifying the prevalence of circulating SARS-CoV-2 variants by analyzing CDPH Genomic Surveillance Data and CalREDIE, CDPH's communicable disease reporting and surveillance system. Viruses mutate into new strains or variants over time. Some variants emerge and then disappear. Other variants become common and circulate for a long time. Several specialized laboratories statewide sequence the genomes of a fraction of all positive COVID-19 tests to determine which variants are circulating. Sequencing and reporting of variant results takes several days after a test is identified as a positive for COVID-19. Not all viruses from positive COVID-19 tests are sequenced. Knowing what variants are circulating in California informs public health and clinical action. Note: There is a natural reporting lag in these data due to the time commitment to complete whole genome sequencing; therefore, a 14 day lag is applied to these datasets to allow for data completeness. Please note that more recent data should be used with caution. For more information, please see: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/COVID-Variants.aspx

Note: As of 10/28/2021 this dataset is no longer being updated. For more information about COVID-19 cases by vaccination status, visit the Department of Public Health's daily report here: https://data.ct.gov/stories/s/q5as-kyim Cases of COVID-19 by vaccination status by weekly reporting period. All data in this report are preliminary; data for previous dates will be updated as new reports are received and data errors are corrected. Since February 2021, cases of COVID-19 among fully vaccinated persons (e.g., vaccine breakthrough cases) were identified based on a medical provider report to DPH identifying such cases. Recently, DPH developed a process that matches COVID-19 case data with the vaccine registry to determine which cases meet the definition of being fully vaccinated and are also vaccine breakthrough cases. A case of COVID-19 in a fully vaccinated person (e.g., vaccine breakthrough case) is defined as a person who has a positive PCR/NAAT or antigen test in a respiratory specimen collected ≥14 days after completing the final dose of an FDA-authorized or approved COVID-19 vaccine series and who did not have a previously positive COVID-19 test <45 days prior to the positive test currently under investigation. This newer process provides more accurate and complete data on the vaccine status of persons who have tested positive for COVID-19.

__Note:__ This dataset is no longer being updated due to the end of the COVID-19 Public Health Emergency. __Note:__ On 2/16/22, 17,467 cases based on at-home positive test results were excluded from the probable case counts. Per national case classification guidelines, cases based on at-home positive results are now classified as “suspect” cases. The majority of these cases were identified between November 2021 and February 2022. CDPH tracks both probable and confirmed cases of COVID-19 to better understand how the virus is impacting our communities. Probable cases are defined as individuals with a positive antigen test that detects the presence of viral antigens. Antigen testing is useful when rapid results are needed, or in settings where laboratory resources may be limited. Confirmed cases are defined as individuals with a positive molecular test, which tests for viral genetic material, such as a PCR or polymerase chain reaction test. Results from both types of tests are reported to CDPH. Due to the expanded use of antigen testing, surveillance of probable cases is increasingly important. The proportion of probable cases among the total cases in California has increased. To provide a more complete picture of trends in case volume, it is now more important to provide probable case data in addition to confirmed case data. The Centers for Disease Control and Prevention (CDC) has begun publishing probable case data for states. Testing data is updated weekly. Due to small numbers, the percentage of probable cases in the first two weeks of the month may change. Probable case data from San Diego County is not included in the statewide table at this time. For more information, please see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Probable-Cases.aspx