Allegheny County reports record-high 1,642 COVID-19 cases in 48 hours

(Image via iStock)

(Image via iStock)

Allegheny County reported a record-high 1,642 new cases of COVID-19 on Friday, Nov. 27, from the previous 48 hours.

The previous high for a 48-hour-period was 962 cases, reported on Nov. 23. Prior to that, the high for a 48-hour period was 530 cases, reported on Nov. 9.

Allegheny County Health Director Dr. Debra Bogen issued a statement calling the numbers and rate of increase “alarming” and noted if cases continue to rise, modeling predicts our health care system to be overwhelmed within a month’s time.

“We know that it can take two weeks for changes in behavior to impact the spread of the virus and for case numbers to decrease, which is why I am asking you to start now, she said. “The coronavirus is spreading through all parts of our county. Anytime we leave our homes, we put ourselves and others at risk. Many people with COVID-19 do not feel sick and do not know they are spreading the virus. They could be unknowingly spreading the virus to you or you could be spreading it to them.

“I am telling residents to please adhere to Governor Wolf’s Stay at Home Advisory - which asks residents to stay home and only leave to go to work or school, to receive medical care, to pick up essentials like food or medicine, or for exercise.

Information on isolation, quarantine and other resources is available here or by calling 2-1-1.

Of the new cases reported Friday, 1,302 were confirmed cases from 5,904 tests; 340 were probable cases. The dates of positive tests ranged from Oct. 14 to Nov. 26 (12 positive tests were more than a week old). Cases ranged in age from 3 months to 103 years old. The median age was 42 years. 

Six new deaths were reported in the county, bringing the total number of COVID-19 deaths to 504. The dates of death ranged from Nov. 15 to 20. One person was in their 70s, one was in their 80s, three were in their 90s and one was over 100. Five of the six deaths were associated with long-term care facilities.

On Friday, the Pennsylvania Department of Health reported a two-day total of 15,785 new positive cases — 8,425 new cases were reported on Thanksgiving and 7,360 new cases were reported Friday. The new state total of reported cases of COVID-19 is 343,614.

A total of 139 new deaths were reported during the 48-hour period, bringing the state total to 10,234.

Currently in Pennsylvania, 4,087 individuals are hospitalized with the virus, about a fifth of whom in the intensive care unit. Most of the patients hospitalized are ages 65 or older, and most of the deaths have occurred in patients 65 or older. More data is available here.

County-specific information and a statewide map are available on the COVID-19 Data Dashboard.

Wolf Renews Proclamation of Disaster Emergency

On Wednesday, Gov. Tom Wolf renewed the Proclamation of Disaster Emergency for Pennsylvania, a 90-day declaration, for a third time. 

This declaration, an unsurprising move from the governor following record-high new daily caseloads from the state in recent weeks, provides more funding to state agencies involved in responding to the virus. 

“With cases and hospitalizations increasing, we cannot afford to let down our guard,” Wolf said in a press release Wednesday. “This renewal will allow the commonwealth to maintain its response and support efforts as we face increasing case numbers and decreasing hospital capacity.”

On Wednesday, the Pennsylvania Department of Health reported 6,759 new COVID-19 cases and 144 new deaths, bringing the respective totals to 327,829 cases and 10,095 deaths. 

Currently, 3,897 individuals are hospitalized with the virus, about a fifth of which are in the intensive care unit. 

Nursing and personal care home residents and employees now represent about 12% of the total caseload and about 64% of the total death toll. Healthcare workers represent about 4.3% of the total caseload.

County investigators overwhelmed

Following the recent influx in new cases, the Allegheny County Health Department announced early this week it will not be able to call every person with a positive test result to conduct a case investigation.

“The sheer number of cases reported over the last several weeks has taxed our team here at the county health department, our team of case investigators, as they work to keep up,” ACHD Director Dr. Debra Bogen said. “They’re working into the night, seven days a week.” 

On Friday, Bogen noted they are not able to call to conduct case investigations for most new cases reported in people aged 6 to 17 and 45 to 59 years.

“If you have recently tested positive for the virus and have not been called by the Health Department, please stay home, isolate and call your close contacts to ask them to quarantine and get tested,” she said.

The county has come up with a new system for case investigations that merges phone correspondence with an online form. 

Typically, a case investigator spends 30 to 60 minutes with individuals they reach by phone. Now, once investigators reach someone by phone, they explain immediate advice about isolation and then refer the individual to an online form to complete the case investigation. Bogen said many individuals have been completing these forms and that this new process means more people can be reached. 

Bogen later said that the county has been “certainly getting enough information” about individual cases, despite the difficulty in reaching everyone. 

Bogen and Allegheny County Executive Rich Fitzgerald continued to reiterate Wednesday that small, private gatherings currently lead the bulk of the spread. When asked by reporters about whether or not the county is concerned about the upcoming Steeler game against the Ravens, a team with players who have contracted COVID-19, Bogen said she is more concerned about people throwing Steelers watch parties. Fitzgerald noted that fans at Steelers games have been following social distancing and mask protocols. 

New state restrictions

Facing predictions of 22,000 new COVID-19 cases per day, statewide, by some point in December, Gov. Tom Wolf and Secretary of Health Dr. Rachel Levine announced a slew of tweaks to existing restrictions on Monday. Additionally, Wolf’s administration now recommends all Pennsylvanians not leave their homes unless absolutely necessary.

“While there is a light on the horizon with the announcement of two vaccine trials that are meeting with great success, we aren’t out of the woods yet. In fact, right now, as of today, we are in a very dangerous situation,” Wolf said. “So we need to work together to stop the spread of COVID-19.”

Telework was recommended but is now required unless impossible. The state will still allow indoor shopping at retail stores but recommends online and pick-up sales.

The state has altered occupancy restrictions for indoor events.

  • For venues with maximum occupancy of 0-2,000, 10% of maximum occupancy is allowed.
  • For venues with maximum occupancy of 2,001-10,000, 5% of maximum occupancy is allowed.
  • For venues with maximum occupancy of more than 10,000 people, no more than 500 people are allowed.

Outdoor event occupancy restrictions have also been altered.

  • For venues with maximum occupancy of 0-2,000, 15% of maximum occupancy is allowed.
  • For venues with maximum occupancy of 2,001-10,000, 10% of maximum occupancy is allowed.
  • For venues with maximum occupancy of more than 10,000, 5% of maximum occupancy is allowed, up to a limit of 2,500.

Pennsylvania has not changed its recommendations for schools, which have the freedom to decide whether instruction will be in-person, virtual or a mixture. However, administrators of any school within a county deemed to have a “substantial” transmission level — which is almost all of them, including Allegheny County — must sign forms confirming they are following all of the safety requirements, such as mask-wearing. If they’re not following the rules, they must offer virtual-only instruction and all extracurricular activities will be suspended.

Wolf and Levine also warned that enforcement will be ramped up for new and old orders.

“It has to be our collective responsibility to protect our communities, our healthcare workers and our most vulnerable Pennsylvanians from COVID-19,” Levine said.

As of the week of Nov. 23, 11.1% of COVID-19 tests are coming back positive, up from 9.6% last week, according to Wolf’s administration.

Because this figure has been rising in the past few weeks, Pennsylvania officials have said this indicates an actual increase in the transmission of the virus rather than just an increase in testing. In the past week, the state has seen 36,133 new COVID-19 cases.

The state now considers 63 of the state’s 67 counties to have a “substantial” level of transmission. The state considers Cameron and Sullivan counties to have “low” transmission and Pike and Wayne counties to have “moderate” transmission.

Only 10 percent of the individuals representing the 34,719 cases reported between Nov. 8 and 14 provided answers to health officials’ telephone questions about what sorts of businesses they visited. About 13% of those who answered said they visited a business establishment 14 days prior to noticing symptoms.

Throughout the pandemic, the state has reported 23,742 cases among 5 to 18 year olds. Nearly 17% of these cases occurred from Nov. 13 and 19.


State's vaccine plans

On Thursday, Levine explained the state’s tiered plan to begin distributing COVID-19 vaccines when they become available, potentially next month.

“As I have previously explained, because of the severity of COVID-19, the federal government is working quickly to get this vaccine to Americans,” Levine said. “Now, not too quickly, even though it's named “Operation Warp Speed” after Star Trek, but they have been working on many different vaccines simultaneously, and that’s inherently what they're talking about with that operation.”

Supplies for the vaccine will be very limited and will be distributed in three phases across the state: first to critical populations and hospitals, then in larger numbers to more vulnerable populations, and finally to every Pennsylvanian. While the vaccines currently being developed by Pfizer and Moderna could be available in early or mid-December, Levine warns that neither vaccine will be an immediate cure or signal the end of the pandemic.

Top COVID news for the week of Nov. 15:

    • Ten employees of the Allegheny County Jail recently tested positive for COVID-19, and another 50 have been quarantined, Warden Orlando Harper announced in a press release Monday. The 10 infected employees appear to have contracted the virus in the community, and not in the jail, the warden said. Staffing will be impacted, but security won't be compromised, he continued. Since March, 33 jail employees and 38 inmates have tested positive for the coronavirus, according to the county.
    • Mayor Bill Peduto proposed an ordinance to Pittsburgh City Council Monday that would guarantee workers employed by businesses with 50 or more employees up to 112 hours of paid sick leave. The federal Families First Coronavirus Response Act already offers this, but it’s set to expire at the end of the year. Peduto’s ordinance would guarantee 112 hours of paid sick leave to full-time employees not covered by the federal law and 32 additional hours of paid sick leave to those who are covered by it. Part-time employees would be guaranteed sick leave equal to the number of hours they normally work in a two week period. Typically, it takes about two weeks for legislation to go from introduced to passed by city council.
    • Allegheny County Executive Rich Fitzgerald recognized the passing from COVID-19 of Mon Valley People’s Action Committee Chairman Clifton Pitts and commended him for his years of activism. “Clifton is one of those people that is not just a statistic,” Fitzgerald said. “He is somebody that touched a lot of lives and is going to be sorely missed.” 
    • Levine urged Pennsylvanians to take safety precautions due to COVID-19 as they plan Thanksgiving celebrations. “The holidays are a time for togetherness, but this year, we must rethink what that looks like,” Levine said in a statement. “This Thanksgiving, choose to celebrate with the people in your household and virtually connect with your loved ones.” For those who plan to leave their home for the holidays, Levine stressed the need to follow the travel mitigation order, wear a mask and remain six feet apart from others to limit the spread of COVID-19 as much as possible. Read the Centers for Disease Control and Prevention guidelines for reducing risk when traveling and hosting or attending holiday gatherings.
    • On Friday, the Pennsylvania Department of Conservation and Natural Resources announced in a press release that all out-of-state visitors to state parks must test negative for COVID-19 within 72 hours of arrival, or quarantine before their visit. Any patrons who cannot comply with these new guidelines will have their visits canceled and will be issued any necessary refunds by the department. Masks are also required to be worn in any indoor spaces and in any outdoor spaces where social distancing is not possible. The new rules will be in effect until at least Jan. 15, 2021.
    • Pennsylvanians looking for food for Thanksgiving, including turkey and side dishes, are encouraged by the state to take advantage of programs like Farmers Market Nutrition Program (FMNP) Vouchers, the Supplemental Nutrition Assistance Program (SNAP), and to find local baskets. “Pennsylvania’s food assistance programs were built for times like these and no one should be too shy to take advantage of what they have to offer,” Agriculture Secretary Russell Redding said in a statement. More info can be found here.
    • Pennsylvania plans to distribute more than 3.8 million antigen rapid tests provided by the federal government, according to Michael Huff, the state’s director of testing and contact tracing. These tests started arriving in October and will run through December. In a Wednesday press conference, Huff characterized the week-long testing wait times from the summer as unacceptable. Now, he said, test results in Pennsylvania have usually been coming back within 72 hours. He emphasized that people contacted by health officials by phone should answer the call and provide the information necessary for contact tracing and data collection. “In communities that are unable to effectively isolate patients and ensure contacts can separate themselves from others, rapid community spread of COVID-19 is likely to increase to the point that strict mitigation strategies will again be needed to contain the virus,” Huff said.

This article was reported by Nicole C. Brambila, Oliver Morrison, Rich Lord, Matt Petras, Juliette Rihl, Charlie Wolfson, Mark Kramer, Jon Moss, Emma Folts, Veonna King, Amanda Su, Kellen Stepler, James Anthony Bell III, Sophie Burkholder and Amanda Hernandez.

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