Pittsburgh's virus success fizzles in crowded bars, eateries

By his estimation, Stephen Santa took Pennsylvania's coronavirus lockdown seriously: He pretty much went only to grocery stores and picked up takeout once a week to help Pittsburgh's restaurants. Whatever Santa and everyone else in Pittsburgh did, it seemed to work: The city racked up a fraction of the coronavirus cases during the spring shutdown, while the other side of Pennsylvania flared up into a hot spot.

With a state-mandated masking order in place, Pittsburgh's gyms, salons, bars and restaurants got permission to reopen in early June, ahead of many parts of Pennsylvania, as part of the so-called "green" phase in Gov. Tom Wolf's three-step stoplight-colored reopening plan. Santa promptly went to a nearby Italian restaurant for a meal in its outdoor courtyard with a couple relatives. When they got there, around 5 p.m. on a Tuesday, it was practically empty. When they left, it was packed inside: every table full, no masks and nobody keeping 3 feet (1 meter) apart, never mind 6 feet (2 meters) apart.

"I think partly a lot of people saw the word 'green' and it meant 'go' and 'we're going back how things were,'" Santa said. Barely three weeks later, officials in Allegheny County — home to Pittsburgh and 1.2 million residents — raised the alarm over a spike in COVID-19 cases.

The culprit? Primarily, people in their 20s, 30s and 40s who told contact tracers that they had been visiting bars and restaurants or working in them, county officials said. Thus began a cascade of orders in July shutting down bars and restaurants, or curtailing dine-in service, as Allegheny County battled to keep its outbreak from becoming a full-blown surge like those across southern and western states.

State health officials even blocked an agreement between the Toronto Blue Jays and the Pittsburgh Pirates to let the Canadian baseball team play at PNC Park in Pittsburgh during the pandemic, pointing to the area's increase in infections. Pittsburgh's story may be inevitable for every part of the United States. It may be a victim of other places that were complacent about containing the virus. In a sharp critique last week, Wolf attacked "a lack of national coordination" that resulted in other states eschewing tough containment measures and spreading the virus back to Pennsylvania: "We don't want to become Florida. We don't want to become Texas. We don't want to become Arizona." It also may be self-inflicted by the people who live there.

Dr. Donald S. Burke, a professor of epidemiology and dean emeritus at the University of Pittsburgh's Graduate School of Public Health, said a preliminary review of Google mobility data shows no spike in people visiting businesses in June. That is consistent, he said, with an outbreak that is fueled by a narrow demographic: for instance, younger people going to bars and restaurants.

Pittsburgh could be considered in a second tier of hot-spot cities, like those in southern and western states: less densely packed than New York and Philadelphia, but still fertile ground for the virus after reopening, Burke said. "The real question is, are we going to overwhelm the hospital capacity in our region, are we going to have the number of ICU beds and ventilators?" Burke said.

So far, coronavirus-related deaths in Allegheny County are stable, slightly above June's pace, and hospitalizations, despite tripling from mid-June, are not yet eliciting concern from county or state officials. When Allegheny County's bars and restaurants reopened in June, many staff members were concerned over safety at the upscale Asian fusion restaurant in Pittsburgh's East End where Amelia Benson was working.

They pushed for, and got, an all-staff meeting to discuss safety protocol. They were each issued several black cotton masks and told those were to be part of the restaurant uniform. Customers were to wear masks indoors unless sitting at their table, managers told them.

But enforcement of mask-wearing among employees was lax when customers were out of sight. "Everyone would show up in a masks and then immediately take it off because it was too hard to be heard yelling orders," Benson said.

On June 30, Benson got an email that an employee had tested positive — six days after taking a test. Like Benson, Larisa Mednis worked the same last shift as the employee who tested positive.

It was jarring, she said, "because people who had worked that day, we weren't told who it was, so we didn't know how close contact we had had, how much it could have spread through the building when we were there. There was a lot unknown at that moment." Benson and Mednis both tested negative. It was difficult policing customers, too. Some would wear a mask in, sit down, take it off and then get up to socialize with people at other tables.(AP) RUP RUP

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