A. SUMMARY This dataset represents all San Francisco (SF) residents who have received a vaccine for certain respiratory viruses that circulate more heavily in the fall and winter months. All vaccines given to SF residents are included, even if they received their vaccination elsewhere in California. The data are broken down by demographic and geographical stratifications. COVID-19: This dataset represents all SF residents who are considered up to date on their COVID-19 vaccine. A person is up to date if they have received at least one dose of the 2024–2025 COVID-19 vaccine. The specific up-to-date criteria can be found on the California Department of Public Health (CDPH) website. (Note: As of November 2024, this dataset only contains data regarding COVID-19 vaccinations. This documentation will be updated as other seasonal vaccination data is added). B. HOW THE DATASET IS CREATED Information on doses administered to those who live in SF is from the California Immunization Registry (CAIR2), run by CDPH. The information on individuals’ city of residence, age, race, and ethnicity are also recorded in CAIR and are self-reported at the time of vaccine administration. In order to estimate the percent of San Franciscans vaccinated, we provide the 2018-2022 American Community Survey (ACS) population estimates for each demographic group and analysis neighborhood. C. UPDATE PROCESS Updated daily via automated process. D. HOW TO USE THIS DATASET SF population estimates for race/ethnicity and age groups can be found in a view based on the San Francisco Population and Demographic Census dataset. SF population estimates for analysis neighborhoods can be found in a view based on the San Francisco Population and Geography Census dataset. Both of these views use population estimates from the 2018-2022 5-year ACS. Before analysis, you must filter the dataset to the desired stratification of data using the “vaccine_type” and "demographic_group" columns. For example, filtering “vaccine_type” to “COVID-19” will allow you to only look at rows corresponding to COVID-19 vaccinations. Filtering “demographic_subgroup” to “Analysis Neighborhood” will allow you to only look at rows corresponding to SF neighborhoods. You can then calculate the percentages of those up to date with their COVID-19 vaccinations by neighborhood. The “vaccine_subtype” field provides information about the current vaccine product being tracked in this dataset. E. CHANGE LOG

Note: After May 3, 2024, this dataset will no longer be updated because hospitals are no longer required to report data on COVID-19 and influenza hospital admissions, hospital capacity, or occupancy data to HHS through CDC’s National Healthcare Safety Network (NHSN). This dataset represents hospitalization data and metrics aggregated to country, HHS region, and state/territory. Hospitalization data are reported to CDC’s National Healthcare Safety Network, which monitors national and local trends in healthcare system stress, capacity, and community disease levels for approximately 6,000 hospitals in the United States. Data reported by hospitals to NHSN and included in this dataset represent aggregated counts and include metrics capturing information specific to hospital admissions, and inpatient and ICU bed capacity occupancy. Data fields for new admissions of pediatric patients with confirmed COVID-19 for ages 0-4 years, 5-11 years, and 12-17 years were not required for reporting until February 2022; therefore, data for the following fields in this dataset begin on March 1, 2022 to account for delays in initial reporting of these fields: adm_00_04_covid_confirmed avg_adm_00_04_covid_confirmed avg_adm_00_04_covid_confirmed_per_100k adm_05_11_covid_confirmed avg_adm_05_11_covid_confirmed avg_adm_05_11_covid_confirmed_per_100k adm_12_17_covid_confirmed avg_adm_12_17_covid_confirmed avg_adm_12_17_covid_confirmed_per_100k Updated weekly each Friday at noon, ET.

__Note__: On April 30, 2024, the Federal mandate for COVID-19 and influenza associated hospitalization data to be reported to CDC’s National Healthcare Safety Network (NHSN) expired. Hospitalization data beyond April 30, 2024, will not be updated on the Open Data Portal. Hospitalization and ICU admission data collected from summer 2020 to May 10, 2023, are sourced from the California Hospital Association (CHA) Survey. Data collected on or after May 11, 2023, are sourced from CDC's National Healthcare Safety Network (NHSN). Data is from the California Department of Public Health (CDPH) Respiratory Virus State Dashboard at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Respiratory-Viruses/RespiratoryDashboard.aspx. Data are updated each Friday around 2 pm. For COVID-19 death data: As of January 1, 2023, data was sourced from the California Department of Public Health, California Comprehensive Death File (Dynamic), 2023–Present. Prior to January 1, 2023, death data was sourced from the COVID-19 case registry. The change in data source occurred in July 2023 and was applied retroactively to all 2023 data to provide a consistent source of death data for the year of 2023. Influenza death data was sourced from the California Department of Public Health, California Comprehensive Death File (Dynamic), 2020–Present. COVID-19 testing data represent data received by CDPH through electronic laboratory reporting of test results for COVID-19 among residents of California. Testing date is the date the test was administered, and tests have a 1-day lag (except for the Los Angeles County, which has an additional 7-day lag). Influenza testing data represent data received by CDPH from clinical sentinel laboratories in California. These laboratories report the aggregate number of laboratory-confirmed influenza virus detections and total tests performed on a weekly basis. These data do not represent all influenza testing occurring in California and are available only at the state level.

__Note:__ This dataset has been archived since June 28, 2025 __Data is from the California Department of Public Health (CDPH) Respiratory Virus Weekly Report.__ The report is updated each Friday. __Laboratory surveillance data__: California laboratories report SARS-CoV-2 test results to CDPH through electronic laboratory reporting. Los Angeles County SARS-CoV-2 lab data has a 7-day reporting lag. Test positivity is calculated using SARS-CoV-2 lab tests that has a specimen collection date reported during a given week. Laboratory surveillance for influenza, respiratory syncytial virus (RSV), and other respiratory viruses (parainfluenza types 1-4, human metapneumovirus, non-SARS-CoV-2 coronaviruses, adenovirus, enterovirus/rhinovirus) involves the use of data from clinical sentinel laboratories (hospital, academic or private) located throughout California. Specimens for testing are collected from patients in healthcare settings and do not reflect all testing for influenza, respiratory syncytial virus, and other respiratory viruses in California. These laboratories report the number of laboratory-confirmed influenza, respiratory syncytial virus, and other respiratory virus detections and isolations, and the total number of specimens tested by virus type on a weekly basis. Test positivity for a given week is calculated by dividing the number of positive COVID-19, influenza, RSV, or other respiratory virus results by the total number of specimens tested for that virus. Weekly laboratory surveillance data are defined as Sunday through Saturday. __Hospitalization data__: Data on COVID-19 and influenza hospital admissions are from Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network (NHSN) Hospitalization dataset. The requirement to report COVID-19 and influenza-associated hospitalizations was effective November 1, 2024. CDPH pulls NHSN data from the CDC on the Wednesday prior to the publication of the report. Results may differ depending on which day data are pulled. Admission rates are calculated using population estimates from the P-3: Complete State and County Projections Dataset provided by the State of California Department of Finance (https://dof.ca.gov/forecasting/demographics/projections/). Reported weekly admission rates for the entire season use the population estimates for the year the season started. For more information on NHSN data including the protocol and data collection information, see the CDC NHSN webpage (https://www.cdc.gov/nhsn/index.html). CDPH collaborates with Northern California Kaiser Permanente (NCKP) to monitor trends in RSV admissions. The percentage of RSV admissions is calculated by dividing the number of RSV-related admissions by the total number of admissions during the same period. Admissions for pregnancy, labor and delivery, birth, and outpatient procedures are not included in total number of admissions. These admissions serve as a proxy for RSV activity and do not necessarily represent laboratory confirmed hospitalizations for RSV infections; NCKP members are not representative of all Californians. Weekly hospitalization data are defined as Sunday through Saturday. __Death certificate data__: CDPH receives weekly year-to-date dynamic data on deaths occurring in California from the CDPH Center for Health Statistics and Informatics. These data are limited to deaths occurring among California residents and are analyzed to identify influenza, respiratory syncytial virus, and COVID-19-coded deaths. These deaths are not necessarily laboratory-confirmed and are an underestimate of all influenza, respiratory syncytial virus, and COVID-19-associated deaths in California. Weekly death data are defined as Sunday through Saturday. __Wastewater data__: This dataset represents statewide weekly SARS-CoV-2 wastewater summary values. SARS-CoV-2 wastewater concentrations from all sites in California are combined into a single, statewide, unit-less summary value for each week, using

__Note__: On April 30, 2024, the Federal mandate for COVID-19 and influenza associated hospitalization data to be reported to CDC’s National Healthcare Safety Network (NHSN) expired. Hospitalization data beyond April 30, 2024, will not be updated on the Open Data Portal. Hospitalization and ICU admission data collected from summer 2020 to May 10, 2023, are sourced from the California Hospital Association (CHA) Survey. Data collected on or after May 11, 2023, are sourced from CDC's National Healthcare Safety Network (NHSN). Data is from the California Department of Public Health (CDPH) Respiratory Virus State Dashboard at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Respiratory-Viruses/RespiratoryDashboard.aspx. Data are updated each Friday around 2 pm. For COVID-19 death data: As of January 1, 2023, data was sourced from the California Department of Public Health, California Comprehensive Death File (Dynamic), 2023–Present. Prior to January 1, 2023, death data was sourced from the COVID-19 case registry. The change in data source occurred in July 2023 and was applied retroactively to all 2023 data to provide a consistent source of death data for the year of 2023. Influenza death data was sourced from the California Department of Public Health, California Comprehensive Death File (Dynamic), 2020–Present. COVID-19 testing data represent data received by CDPH through electronic laboratory reporting of test results for COVID-19 among residents of California. Testing date is the date the test was administered, and tests have a 1-day lag (except for the Los Angeles County, which has an additional 7-day lag). Influenza testing data represent data received by CDPH from clinical sentinel laboratories in California. These laboratories report the aggregate number of laboratory-confirmed influenza virus detections and total tests performed on a weekly basis. These data do not represent all influenza testing occurring in California and are available only at the state level.

NOTE: This dataset is no longer being updated but is being kept for historical reference. For current data on respiratory illness visits and respiratory laboratory testing data please see Influenza, COVID-19, RSV, and Other Respiratory Virus Laboratory Surveillance and Inpatient, Emergency Department, and Outpatient Visits for Respiratory Illnesses. This dataset includes aggregated weekly metrics of the surveillance indicators that the Department of Public Health uses to monitor influenza activity in Chicago. These indicators include: - Influenza-associated ICU hospitalizations for Chicago residents, which is a reportable condition in Illinois (HOSP_ columns) - Influenza laboratory data provided by participating sentinel laboratories in Chicago (LAB_ columns) - Influenza-like illness data for outpatient clinic visits and emergency department visits. (ILI_ columns) For more information on ILINET, see https://www.cdc.gov/flu/weekly/overview.htm#anchor_1539281266932. For more information on ESSENCE, see https://www.dph.illinois.gov/data-statistics/syndromic-surveillance All data are provisional and subject to change. Information is updated as additional details are received. At any given time, this dataset reflects data currently known to CDPH. Numbers in this dataset may differ from other public sources.

__Data is from the California Department of Public Health (CDPH) Respiratory Virus Dashboard.__ The respiratory virus dashboard shows statewide and regional, weekly data for the following conditions: - COVID-19 - Influenza - Respiratory Syncytial Virus (RSV) This dashboard provides an overview of respiratory virus activity (test positivity, flu typing, emergency department visits) and severity (hospital admissions, deaths, and pediatric deaths). The data update most Fridays but may change in future updates as more information becomes available.

__Data is from the California Department of Public Health (CDPH) Respiratory Virus Weekly Report.__ The report is updated each Friday. __Laboratory surveillance data__: California laboratories report SARS-CoV-2 test results to CDPH through electronic laboratory reporting. Los Angeles County SARS-CoV-2 lab data has a 7-day reporting lag. Test positivity is calculated using SARS-CoV-2 lab tests that has a specimen collection date reported during a given week. Laboratory surveillance for influenza, respiratory syncytial virus (RSV), and other respiratory viruses (parainfluenza types 1-4, human metapneumovirus, non-SARS-CoV-2 coronaviruses, adenovirus, enterovirus/rhinovirus) involves the use of data from clinical sentinel laboratories (hospital, academic or private) located throughout California. Specimens for testing are collected from patients in healthcare settings and do not reflect all testing for influenza, respiratory syncytial virus, and other respiratory viruses in California. These laboratories report the number of laboratory-confirmed influenza, respiratory syncytial virus, and other respiratory virus detections and isolations, and the total number of specimens tested by virus type on a weekly basis. Test positivity for a given week is calculated by dividing the number of positive COVID-19, influenza, RSV, or other respiratory virus results by the total number of specimens tested for that virus. Weekly laboratory surveillance data are defined as Sunday through Saturday. __Hospitalization data__: Data on COVID-19 and influenza hospital admissions are from Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network (NHSN) Hospitalization dataset. The requirement to report COVID-19 and influenza-associated hospitalizations was effective November 1, 2024. CDPH pulls NHSN data from the CDC on the Wednesday prior to the publication of the report. Results may differ depending on which day data are pulled. Admission rates are calculated using population estimates from the P-3: Complete State and County Projections Dataset provided by the State of California Department of Finance (https://dof.ca.gov/forecasting/demographics/projections/). Reported weekly admission rates for the entire season use the population estimates for the year the season started. For more information on NHSN data including the protocol and data collection information, see the CDC NHSN webpage (https://www.cdc.gov/nhsn/index.html). CDPH collaborates with Northern California Kaiser Permanente (NCKP) to monitor trends in RSV admissions. The percentage of RSV admissions is calculated by dividing the number of RSV-related admissions by the total number of admissions during the same period. Admissions for pregnancy, labor and delivery, birth, and outpatient procedures are not included in total number of admissions. These admissions serve as a proxy for RSV activity and do not necessarily represent laboratory confirmed hospitalizations for RSV infections; NCKP members are not representative of all Californians. Weekly hospitalization data are defined as Sunday through Saturday. __Death certificate data__: CDPH receives weekly year-to-date dynamic data on deaths occurring in California from the CDPH Center for Health Statistics and Informatics. These data are limited to deaths occurring among California residents and are analyzed to identify influenza, respiratory syncytial virus, and COVID-19-coded deaths. These deaths are not necessarily laboratory-confirmed and are an underestimate of all influenza, respiratory syncytial virus, and COVID-19-associated deaths in California. Weekly death data are defined as Sunday through Saturday. __Wastewater data__: This dataset represents statewide weekly SARS-CoV-2 wastewater summary values. SARS-CoV-2 wastewater concentrations from all sites in California are combined into a single, statewide, unit-less summary value for each week, using a method for data transformation and aggregation developed

__Data is from the California Department of Public Health (CDPH) Respiratory Virus Dashboard.__ The respiratory virus dashboard shows statewide and regional, weekly data for the following conditions: - COVID-19 - Influenza - Respiratory Syncytial Virus (RSV) This dashboard provides an overview of respiratory virus activity (test positivity, flu typing, emergency department visits) and severity (hospital admissions, deaths, and pediatric deaths). The data update most Fridays but may change in future updates as more information becomes available.