Los Angeles County still requires vaccinated and unvaccinated people to wear masks indoors, but it plans to relax those rules as soon as Friday, once the county is moved out of the CDC’s high-risk category.
California’s indoor mask mandate for vaccinated persons expired on Feb. 15. Then the state dropped its mask requirement for unvaccinated people on Tuesday, and for schools starting March 12.
The CDC’s use of the outdated data and the widespread confusion over the disparate state and federal guidelines call into question just how effective or useful the CDC’s masking recommendations will be. In California, most counties other than Los Angeles appear to be following the state’s masking guidance, not the new federal guidelines.
Dr. Norma Perez, a pediatrician at AltaMed in Los Angeles, said the varying guidelines — at the national, state and local levels — are confusing to the public.
“We practice in Los Angeles and Orange County, and just between those two counties we sometimes see different levels of masking being recommended,” she said. While providers try to keep up with the changing rules, their message for patients is that masking is highly recommended, especially if they’re at higher risk for severe illness, Perez said.
Loosening of state and federal mask rules has come under fire from scientists and community advocates for not including vaccination rates or accounting for disparities among hard-hit communities.
Throughout most of the pandemic, California’s statewide protections — and those implemented by some counties — have been more cautious and often more strict than those issued by federal health officials. California was the first to order residents to shelter in place; it’s guidelines for school reopenings were more rigorous than the CDC’s; and more recently, during the omicron surge, state guidelines for allowing infected people back to work required a negative test, while the CDC only asked for five days of isolation.
But in recent months, masking orders have become increasingly divisive in communities and among legislators.
Last month, nearly 100 Sonoma County health workers and community advocates sent a letter urging the county health department to delay joining the state in ending masking for vaccinated individuals. Regardless, Sonoma and 11 other Bay Area counties, with the exception of Santa Clara, lifted masking restrictions in accordance with state guidelines.
Dr. Jennifer Fish, a physician who signed the letter, said the Latino community continues to be disproportionately harmed by COVID hospitalizations and deaths. While Latinos make up less than 24% of the local population in Sonoma County, they account for 50% of cases, 40% of hospitalizations and 31% of deaths.
“It’s important to understand that the impact goes beyond those metrics. Those are community members that are at higher risk of losing their jobs, losing their homes, and food insecurity,” Fish said.
African American and Pacific Islanders across the state are also dying at disproportionate rates, despite efforts to increase vaccinations and testing.
The group of Sonoma County health workers and advocates hopes the county will reconsider removing mask requirements from schools, where a third of student cases have occurred among the most disadvantaged students.
“Even if the risk is less than it was during the peak of the surge, the risk is still higher among vulnerable communities. We want policy that prioritizes our most impacted students,” Fish said.
Santa Clara County is one of the few counties to set its own thresholds for unmasking, including vaccination. On Tuesday, Dr. Sara Cody, the county’s health officer, announced that those metrics had been met.
Cody said the county can drop its masking requirement starting today because hospitalizations are low and stable and the moving average number of daily new cases has been under 550 for 7 days. Nearly 85% of the county’s population is vaccinated.
Cody said while the mask requirement is no longer in effect, residents are still encouraged to wear a mask indoors, especially to protect those at higher risk of illness.
“Preventing infection is still a worthy goal,” Cody said. “And we know that masks are effective at preventing infection; they are still a very important layer of protection for an airborne viral respiratory disease.”
Sen. Richard Pan, a Sacramento Democrat, and chair of the Senate health committee, said in a statement that while case rates are decreasing, “they remain high and too many Californians remain vulnerable.” A pediatrician, he encouraged residents to keep masking indoors, including schools.
Meanwhile, Sen. Melissa Melendez, a Republican from Lake Elsinore and the vice chair of the same health committee, has spoken against prolonging mask mandates in schools.
“It’s not the science that has changed, it’s the political science that has changed,” Melendez said in a statement following the state’s mask update. “ It’s clear the mounting political pressure from parents and Californians are driving these decisions.”
