Pointing again to younger residents as driving forces behind coronavirus case numbers, Los Angeles County’s public health director warned this week that large and small gatherings are a continued major source of COVID-19 transmission.

And with the holiday season and cooler weather on the horizon, Dr. Barbara Ferrer warned that indoor get-togethers present even higher risk of transmission that will continue to push case numbers higher and prolong economic shutdowns.

Ferrer noted that people between 18 and 49 now account for 58 percent of all new COVID-19 cases in the county. The 12-50 age group represents 68 percent of all new cases. Ferrer also noted increasing percentages among younger people hospitalized due to the virus. She said in mid-May, people aged 18-29 represented 5 percent of hospitalized virus patients, but now, “that’s doubled to about 10 percent of all hospitalizations.’’

“As you can see, people of all ages are at risk of being infected with COVID-19, and it’s our younger groups that are keeping our case counts high,’’ Ferrer said. “But we also see that people of all ages can unfortunately become tragically ill and some people will pass away. So it’s important that people of all ages understand and use every tool we have to protect themselves and each other from transmission of this virus.’’

Ferrer pointed specifically to gatherings—ranging from small get-togethers with friends to family celebrations to large-scale protest and sports victory celebrations—as a major contributor to the virus’ continued spread.

“I also think there’s a false sense of security we have when we’re with people we know,’’ she said. “You saw that at the White House. I think you see it in your own lives–’These are people I know; I trust they’re not doing anything stupid; We don’t have to keep our masks on, even if we’re handing out together; This is all going to be OK because we’re all healthy people.’–and time and time and time again that is not accurate and oftentimes has a devastating consequences when some people get sick and some of those people end up having to be hospitalized.’’

Los Angeles County recently updated its local health order actually authorizing small gatherings of up to three households, a stark change from earlier recommendations that people gather only with people in their own households. Health officials have stressed, however, that the new guidance is not an encouragement to hold such gatherings, but an effort to impose health protocols on them, since authorities know they’ve been happening regardless of the warnings.

Ferrer said holiday gatherings can reasonably held outside with up to three households, if all the required protocols are met. But if cooler weather prevails and it forces celebrations indoors, they need to be limited to just one household.