With more businesses reopening, Los Angeles County has seen a recent rise in workplace coronavirus outbreaks, health officials said today, while also reporting an uptick in the transmission rate that could translate to more cases.

As of Wednesday, the county’s effective transmission rate—the average number of other people a COVID-19 patient infects with the virus—stood at 1.05, up from 1.0 two weeks ago.

“As a reminder, if (the rate) is greater than one, then we anticipate that the number of new cases will increase over time,” county health services director Dr. Christina Ghaly said.

Ghaly said the number of people hospitalized due to the virus remains relatively low, at 720 as of Wednesday, well below the 2,000-plus levels seen in July. She said the increase in transmission rate could lead to an increase in hospitalizations, but the county should have more than adequate bed space for at least the next month.

But she urged people to continue taking precautions against the virus.

“We cannot let our guard down,” Ghaly said. “This is simply not over. We did such a remarkable job in the past and we can continue to do the same to reduce transmission within our communities and to save lives.”

Along with the uptick in the local transmission rate, the county also announced a recent rise in workplace outbreaks. An outbreak is considered three positive cases in a single location.

Public health director Barbara Ferrer said the county saw a spike in outbreaks back in July, followed by a sharp decline. But outbreaks have been on the rise in recent weeks, she said.  From Sept. 6-19, the county reported 23 outbreaks at various work sites; from late September to early October, county officials reported 39 workplace outbreaks in a two-week period.

“This is a cause for concern and we’ll continue to be monitoring what’s happening at workplaces,” she said.

Ferrer said businesses have generally been complying with public health protocols designed to prevent the spread of the coronavirus, but compliance hasn’t been universal. She said that between Aug. 29 and Oct. 6, the county issued a total of 131 citations to businesses for violations of health orders. The largest percentage of citations went to gyms or fitness centers, which received 51 citations, while houses of worship received 36.

Ferrer also said the county has not seen any outbreaks at schools that recently reopened to provide in-person instruction for high-need students. She said such instruction is being provided at 837 schools in the county, for more than 17,500 students and 10,600 staffers. Thus far, no virus cases have been reported among any of the students, and only a “handful of cases” have occurred among staff, she said.

The county has been taking a slow approach to reopening businesses and continues to restrict large gatherings. However, following the state’s decision to authorize residents to hold small private gatherings of no more than three households, the county on Thursday plans to amend its health order to also allow such gatherings.

Ferrer warned, however, that any gathering with other households can present a risk of virus spread.

“It is recommended that if you do gather with two other households, you do so with the same households each time, creating a quasi-bubble that can reduce the risk of spreading the virus to others,” she said.

She noted that large gatherings remain prohibited, other than those involving a public protest or outdoor worship services, noting that “there’s nothing in the state’s revised guidance that changed this.”

The county reported another 22 coronavirus-related deaths on Wednesday, although three of those fatalities were actually announced Tuesday by health officials in Long Beach. The countywide death toll due to the virus stood at 6,812 as of Wednesday.

The county also announced another 1,349 new confirmed virus infections, increasing the countywide total since the start of the pandemic to 285,016.

Long Beach on Wednesday reported 46 new cases of COVID-19, and one additional death. The city has had a total of 12,517 cases and 254 deaths.

Ferrer urged virus-weary residents not to become “complacent,” with the county still struggling to escape the restrictive “purple” tier of the state’s economic-reopening matrix.

“We still have a great deal of transmission of COVID-19 across our communities and we remain one of a handful of counties in the state that is still in Tier 1,” she said. “We’re beginning also to see some modest increases in cases and outbreaks, and while this can be expected when more people are engaged in activities and at work and in their private lives with others that put them in contact with other people, it is concerning and it will slow down our recovery journey.

“We need to keep doing what we know works,” she said. “Each of us has the opportunity every single day to make the right choices that help reduce the transmission of COVID-19 and helps save lives.”