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. 2022 Aug;112(8):1180–1190. doi: 10.2105/AJPH.2022.306862

TABLE 2—

COVID-19 Outbreaks and Outbreak-Associated Cases in the 25 Industries With the Highest Numbers of Outbreaks: California, January 2020–August 2021

Industry US Census Industry Code No. of Reported Outbreaksa No. of Outbreak- Associated Cases No. of Industry Establishmentsb Outbreak Incidence (per 1000 Establishments) Prevention Index Rankingc
Residential care facilities, except skilled nursing facilities 8290 4 518 52 410 8 300 544.4 2
Skilled nursing facilities 8270 2 585 91 120 1 979 1 306.4 1
Restaurants and other food services 8680 1 291 7 821 78 935 16.4 32
Elementary and secondary schools 7860 963 6 137 16 086 59.9 9
Justice, public order, and safety activities 9470 696 39 166 3 357 207.3 5
Community food and housing and emergency services 8380 654 5 508 1 538 425.0 3
Hospitals 8190 581 8 486 1 422 408.6 4
Grocery stores 4970 501 3 772 10 782 46.5 18
Construction 0770 499 3 874 87 451 5.7 61
Child day care services 8470 474 2 604 8 789 53.9 16
Warehousing and storage 6390 327 7 828 2 308 141.7 7
Automobile dealers 4670 267 2 342 3 452 77.3 8
Department stores and discount stores 5380 266 2 834 978 272.0 6
Outpatient care centers 8090 262 1 583 5 949 44.0 20
Real estate 7070 222 1 570 54 104 4.1 71
Colleges, universities, and professional schools, including junior colleges 7870 217 3 858 4 999 43.4 25
Individual and family services 8370 215 1 691 531 624 0.4 124
Religious organizations 9160 193 1 611 3 087 62.5 15
Building material and supplies dealers 4870 179 1 813 4 030 44.4 21
Crop production 0170 169 2 126 8 568 19.7 36
Traveler accommodation 8660 141 1 322 6 399 22.0 33
Miscellaneous general merchandise stores 5390 135 2 482 2 949 45.8 24
Other amusement, gambling, and recreation industries 8590 135 929 9 283 14.5 43
Medical equipment and supplies manufacturing 3960 127 1 487 1 811 70.1 14
Bus service and urban transit 6180 118 891 1 503 78.5 10

Note. The 25 industries shown here represented 79.1% of all outbreaks and 85.0% of all outbreak-associated cases.

a

If a single facility reported more than 1 outbreak during the study period, each outbreak was counted separately (i.e., a single facility might be responsible for more than 1 outbreak in the data set).

b

Data on numbers of establishments by industry were obtained from the California Employment Development Department Quarterly Census of Employment and Wages and calculated as the average number of establishments from the first through the fourth quarter of 2020.

c

Prevention indexes were calculated as the average of the count rank and the incidence rank; the numbers shown here represent prevention index rankings among all individual industries. A lower numeric prevention index ranking indicates an industry with a higher priority for intervention.