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COVID-19 pandemic in Philadelphia
The TLA on March 17, 2020 during the City of Philadelphia's shutdown during the COVID-19 pandemic
DiseaseCOVID-19
Virus strainSARS-CoV-2
LocationPhiladelphia
DateMarch 10, 2020 – April 27, 2022
Confirmed cases
Severe cases18,792 (hospitalizations)
Deaths
4,103 (confirmed)
Government website
www.health.pa.gov/topics/disease/coronavirus/Pages/Cases.aspx

The first case of COVID-19 was confirmed in Philadelphia, Pennsylvania, on March 10, 2020. According to the Philadelphia Department of Public Health, there have been 189,971 confirmed infections and 4,103 confirmed deaths from COVID-19 in the city.[1]

Timeline

The first case of COVID-19 in Philadelphia was announced on March 10, 2020. The infected person was confirmed to be an adult who had exposure to previously confirmed cases of the COVID-19. The city's initial response was not to cancel all large scale events, but instead to recommend that "residents consider not attending large public gatherings with more than 5,000 people". Managing Director Brian Abernathy stated "Obviously this is a difficult situation and we certainly recognize that many businesses and individuals rely on these sorts of events for their livelihood, but we do so out of an abundance of caution. This also impacts our sports teams, both professional, collegiate and even high school. It is simply far more important at this point in time to keep residents and visitors out of large crowds of that size".[2]

On March 17, 2020, there were 96 cases in the state of Pennsylvania, more than half of which were in the Philadelphia area, with Montgomery County holding the highest number.[3] As daily cases began to rapidly increase, Mayor Jim Kenney and Dr. Thomas A. Farley, Health Commissioner of the City of Philadelphia, issued a stay-at-home order beginning at 8 a.m. on March 23, 2020. Secretary of Health for the Commonwealth of Pennsylvania and Professor of Pediatrics and Psychiatry at the Penn State, Rachel Levine, led the state's early response to the outbreak.[4] On March 28, 2020, Governor Tom Wolf announced 533 new cases, bringing the statewide total to 2,751. The highest rise in cases was in Philadelphia County.[5]

The Pennsylvania National Guard delivering cots to a field hospital at the Liacouras Center

In March 2020, the Liacouras Center at Temple University was transformed into a field hospital with 200 beds arranged on the court in anticipation of a surge in need due to the pandemic and shortages in city hospitals.[6] At the end of April 2020, operations of the field hospital began winding down as the rate of new COVID-19 cases in Philadelphia began to decline.[7]

On April 3, 2020, Governor Wolf asked Pennsylvanians to wear cloth face coverings in public. Philadelphia reduced recycling pickup to every two weeks due to staff shortages.[8] By April 10, 2020, Philadelphia had reported 5,793 coronavirus cases and 137 deaths.[4] A passenger was forced off a SEPTA bus for not wearing a mask.[9] Levine said that "approximately 45 percent of hospital beds, 38 percent of intensive care unit beds and nearly 70 percent of ventilators remained available for use" as of April 10, 2020.[4] Center City is assisting residents over 50 and health care workers who are displaying symptoms consistent with COVID-19.[10]

On the evening of April 8, 2020, during a White House COVID-19 press briefing, Vice President Mike Pence and Coronavirus Response Coordinator Dr. Birx warned that Philadelphia may soon become one of the outbreak's next hotspots.[11] One week later, on April 15, 2020, Philadelphia reported 603 new cases, its highest daily count (during the first wave).[1] Two days later, on April 17, the city reported its highest single-day death toll of 54 deaths.[1] Days later, hospitals and funeral homes began to run out of space to store the bodies of those who were succumbing to COVID-19.[12] On April 19, 2020, a reporter for the Philadelphia Inquirer photographed a pile of corpses wrapped in white sheets and stacked one on top of another in the cargo bed of a pickup truck at the Philadelphia Medical Examiner's Office.[12] The corpses were tagged as coming from Einstein Medical Center located in the hard-hit Olney section of Philadelphia.[12] Workers were seen stepping on top of the pile of deceased bodies to load them into refrigerator trucks.[12]

Variable-message sign along Interstate 95 in Philadelphia telling people to practice social distancing, stay home, and limit travel

In late May and early June 2020, large George Floyd protests and riots took place in Philadelphia, raising fears that COVID-19 would surge. However, by mid-June, weeks after the protests, not only did new COVID-19 cases decline, they reached the lowest rates seen since the start of the pandemic.[13]

On June 5, 2020, Philadelphia moved from the red phase to the yellow phase of the state's reopening plan, which lifted the stay-at-home order and replaced it with a safer-at-home advisory and allowed for some businesses to reopen. While the city moved to the yellow phase on June 5, there were differences from the state's reopening plan. For example, outdoor dining was still not permitted and the city was recommending against gatherings of any size (whereas the state permitted gatherings of up to 25 people).[14] On June 12, 2020, outdoor dining was allowed at restaurants in Philadelphia.[15] On June 26, 2020, the state allowed for Philadelphia to move from the yellow phase to the green phase of the state's reopening plan, which allowed for more businesses to reopen. Among the businesses allowed to reopen on June 26 included residential swimming pools, private swim clubs, salons, barbershops, spas, and small gatherings of up to 25 people.[16] The city kept some additional restrictions in place until July 3, 2020; on that date, museums, libraries, shopping malls, and casinos were allowed to reopen. Gyms and indoor dining at restaurants were planned to reopen on July 3; however, the reopening of these businesses was postponed due to a rise in cases.[17] On July 20, 2020, gyms were allowed to reopen.[18] On September 8, 2020, indoor dining at 25 percent capacity was allowed at restaurants in Philadelphia.[19] On October 2, 2020, restaurants were allowed to increase to 50 percent capacity for indoor dining after completing self-certification documents.[20]

After dropping to a low of just 4% on June 16, 2020, the city-wide positive rate slowly rose in late June and early July.[1] By July 12, 2020, the city-wide positive rate had inched up to 7%, indicating that cases were again on the rise.[1] On July 14, 2020, Mayor Jim Kenney announced a moratorium on all large public events through February 28, 2021.[21] The moratorium would cancel all public festivals, carnivals, fairs, parades, concerts and flea markets that draw crowds over 50 people, affecting events such as the 6abc Dunkin' Thanksgiving Day Parade, the Philadelphia Marathon, and the Mummers Parade.[21] Events such as the AIDS Walk Philly and the Gay Bingo fund raising event were cancelled, losing up to $100,000 in revenue. Philadelphia leaders formed the PHL COVID-19 Fund to assist non-profits. It has generated over $12 million.[22]

Two block parties, one in Lawncrest and one in Allegheny West, were stopped by local police officers on the night of July 25, 2020, in an effort to stop viral transmission.[23] On July 28, 2020, with COVID-19 continuing to mount, the School District of Philadelphia announced that students will only receive online instruction through November 17, 2020,[24]

By late summer of 2020, Brewerytown, the neighborhood encompassing parts of Temple University, quickly emerged as the city's new hotspot for COVID-19 with a positivity rate nearly twice that of the overall city rate.[1] On August 30, 2020, Temple University reverted to online instruction after 103 people tested positive. Contact tracing linked the outbreak to off-campus apartments and small social gatherings.[25] On September 3, 2020, Temple University announced classes would be held online for the remainder of the fall semester.[26] Following Temple University's closure, the infection rates in Brewerytown and surrounding North Philadelphia neighborhoods declined substantially.[1]

On October 13, 2020, the city raised the gathering limits for both indoor and outdoor venues, which had previously been capped at 25 people for indoor venues and 250 people for outdoor venues. Indoor venues were allowed no more than 10 percent of total occupancy up to 250 people; while outdoor venues were allowed no more than 20 percent of total occupancy for venues with a maximum occupancy less than 2,000 people and no more than 15 percent of total occupancy up to 7,500 people for venues with a maximum occupancy greater than 2,000 people. The increase in gathering limits allowed for fans at Lincoln Financial Field for Philadelphia Eagles games, with 7,500 fans allowed to attend Eagles games starting with the October 18, 2020 game against the Baltimore Ravens.[27]

On November 10, 2020, the School District of Philadelphia, which started the school year with all-virtual learning, delayed plans to return some students to hybrid learning due to an increase in cases.[28] On November 16, 2020, the city announced new restrictions due to a surge in cases, which were in place from November 20, 2020, until January 1, 2021. The restrictions included no indoor dining at restaurants, capacity limits at retail stores and religious institutions, telework for office workers required unless it was not possible, a ban on indoor gatherings of any size, outdoor gatherings limited to 10 percent occupancy with a cap of 2,000 people, and no youth or school sports. Colleges, universities, and high schools were only allowed to offer online classes while elementary and middle schools were allowed in-person instruction following health guidelines. In addition, theaters, bowling alleys, casinos, gyms, museums, and libraries were ordered to be closed during this time.[29] On December 22, 2020, the city announced the restrictions on indoor dining, indoor gatherings, theaters, colleges, and indoor organized sports would continue until January 15, 2021, due to an anticipated rise in cases following the Christmas and New Year's holidays. The city lifted restrictions on casinos, museums, outdoor sports, gyms, in-person learning at high schools, and outdoor catered events on January 4, 2021, as cases did not rise more than anticipated.[30][31]

On March 3, 2021, the Federal Emergency Management Agency opened a mass COVID-19 vaccination site at the Pennsylvania Convention Center. The site was able to provide shots to about 47,000 people a week and was expected to operate for at least eight weeks.[32]

On March 2, 2021, the city of Philadelphia raised capacity limits for indoor and outdoor events to match state guidelines, with indoor events limited to 15 percent maximum occupancy and outdoor events limited to 20 percent maximum occupancy. As a result, the Wells Fargo Center allowed about 3,100 fans back starting on March 7, 2021, for Philadelphia 76ers and Philadelphia Flyers games while Citizens Bank Park allowed 8,800 fans for Philadelphia Phillies games.[33] On March 8, 2021, the School District of Philadelphia moved to hybrid learning for students from Pre-K through 2nd grade at 53 schools, with safety measures put into place.[34] On March 16, 2021, the city announced that the Office of Special Events and Philadelphia Parks and Recreation would start accepting event permit applications, while the Streets Department would start accepting applications for festivals and block parties on April 15, 2021.[35]

After the state announced it was loosening several restrictions on April 4, 2021, including allowing bar service, allowing alcohol to be served without the purchase of food, and increasing capacity limits at various businesses including restaurants, gyms, and entertainment, the city of Philadelphia announced on March 23, 2021, that it would not follow the rest of the state in adopting the loosened restrictions due to a rise in cases and hospitalizations in the city. The city did however increase the maximum capacity of outdoor catered events to 250 people and allowed for food to be served at business meetings. During the month of April, the city reviewed local trends in COVID-19 cases to determine if the city could loosen restrictions.[36] On April 27, 2021, the city announced that effective May 7, 2021, restaurants would be allowed to increase to 50 percent capacity or 75 percent capacity with enhanced ventilation standards while indoor catered events would be allowed at 25 percent capacity with a maximum of 75 people. In addition, other gatherings and events would be allowed at 25 percent capacity indoors and 50 percent capacity outdoors.[37]

On May 21, 2021, the city lifted the outdoor mask mandate for fully vaccinated people, reduced social distancing at restaurants from 6 feet (1.8 m) to 3 feet (0.91 m), and lifted capacity limits at retail stores, museums, and libraries.[38] On May 28, 2021, the city announced it would lift several restrictions on June 2, 2021, having previously announced these restrictions would be lifted on June 11, 2021. On that date, density limits, capacity limits, and social distancing rules were lifted; however, the indoor mask mandate and 11 p.m. last call for dining remained in place.[39] On June 11, the indoor mask mandate and the 11 p.m. last call for dining were lifted.[40]

On July 22, 2021, the city again recommended people wear masks in indoor public spaces, regardless of vaccination status, due to a rise in cases among unvaccinated people including children.[41] On August 11, 2021, the city announced that effective August 12, masks would be required to be worn inside businesses unless the business requires proof of vaccination. In addition, masks would be required for unseated outdoor gatherings of greater than 1,000 people. Beginning on September 1, 2021, new employees hired by the city must be fully vaccinated against COVID-19 while current employees will need to either be fully vaccinated or double mask while indoors.[42] On August 13, 2021, the city announced that healthcare workers and students and staff at colleges in Philadelphia would be required to be vaccinated by October 15. In addition, the city announced essential businesses including grocery stores, pharmacies, doctors offices, and urgent care centers would only be allowed to have a mask mandate and not the option requiring proof of vaccination.[43] On August 24, 2021, the school board of the School District of Philadelphia voted unanimously to mandate teachers and staff be vaccinated against COVID-19.[44]

On December 13, 2021, the city announced that proof of a COVID-19 vaccine would be required for indoor dining at restaurants and food establishments beginning on January 3, 2022.[45] On December 15, 2021, city health officials warned against holiday gatherings involving multiple households due to an increase in cases and hospitalizations.[46] On December 22, 2021, Temple University announced that classes for the first three weeks of the spring 2022 semester would be held virtually due to the rise in COVID-19 cases caused by the SARS-CoV-2 Omicron variant.[47] On January 3, 2022, the School District of Philadelphia announced that 81 schools would switch to virtual learning for the remainder of the week starting on January 4, 2022, due to staffing issues related to the rise in COVID-19 cases.[48]

On February 16, 2022, the city dropped the vaccine mandate for indoor dining due to a decline in COVID-19 cases while keeping the indoor mask mandate in place. In addition, the city unveiled a tiered response to the COVID-19 pandemic, with four tiers based on number of cases, test positivity, hospitalizations, and the rate of cases. In the lowest tier, "All Clear", city mask mandates will be lifted (with the exception of schools, healthcare facilities, congregate settings, and public transportation) and there will be no vaccine mandate for indoor dining. In the next tier, "Mask Precautions", a mask mandate will be in place while there will still be no vaccine mandate for indoor dining. In the next tier, "Caution", a mask mandate will be in place while either proof of vaccination or a negative test will be required for indoor dining. In the highest tier, "Extreme Caution", a mask mandate will be in place while proof of vaccination will be required for indoor dining. As of February 16, 2022, the city is in the "Mask Precautions" tier.[49] On March 2, 2022, the city moved to the "All Clear" tier, ending the indoor mask mandate. The federal mask mandates for healthcare facilities and public transportation, in addition to the school mask mandate, will remain in place, while masks will be required in city buildings until March 7, 2022, at which time the mandate will be lifted for visitors and fully vaccinated staff.[50] On March 9, 2022, the city made masks optional in public and archdiocesan schools; masks would still be required in PreK Head Start programs. A mask mandate was reinstated for one week after spring break to avoid a surge in cases following the break.[51]

On April 5, 2022, the city recommended people wear masks indoor again due to an uptick in cases caused by the BA.2 subvariant of the SARS-CoV-2 Omicron variant. The city however remained in the "All Clear" tier.[52] On April 11, 2022, the city moved back into the "Mask Precautions" tier, with an indoor mask mandate to be implemented starting on April 18, 2022.[53] After the federal mask mandate for public transportation was struck down on April 18, 2022; SEPTA announced that masks will no longer be required onboard vehicles and inside stations and concourses.[54] On April 22, 2022, the city lifted the indoor mask mandate due to declining cases and hospitalizations, with masks recommended in indoor public spaces; masks will still be required in healthcare and congregate settings.[55]

On May 23, 2022, the School District of Philadelphia began requiring masks again for students and staff in buildings and on buses and vans due to an increase in cases.[56] On August 12, 2022, the School District of Philadelphia announced that masks for the upcoming school year will be based on COVID-19 transmission levels. Masks were required for the first 10 days of the school year due to summer gatherings.[57] Starting on September 12, 2022, masks will become optional but recommended.[58] The School District of Philadelphia will require masks for 10 days following winter break in order to reduce the transmission of COVID-19 and other respiratory illnesses; the mandatory masking period will run from January 3, 2023, to January 13, 2023.[59]

Demographics

According to the Philadelphia Department of Public Health, African Americans, Hispanic Americans and White Americans presented with roughly equal rates of infection when adjusted for population size. Data also show that African Americans and White Americans were both more likely than Hispanic Americans and Asian Americans to die from the virus, when adjusted for population size. Although Asian-Americans were initially discriminated against for spreading the virus, data show that Asian-Americans present with the lowest infection rate of all racial groups in the city.[1]

According to the Philadelphia Department of Public Health, the risk of dying from COVID-19 increases substantially with age. Approximately half of all deaths have occurred in persons age 75 or older. Department of Public Health data show that 361 children have been hospitalized with the virus, one of whom has died from the virus. Nearly 2,000 hospitalizations and 40 deaths due to the virus have occurred in young adults aged 20–34.[1]

When adjusted for population size, males are more likely than females to die from COVID-19.[1]

Data

The neighborhood that experienced the most cases overall was Juniata, which reported 9,356 cases, or 11% of the neighborhood's population.[1]

The neighborhood with the worst testing rate is Oxford Circle in Northeast Philadelphia.[1] The neighborhood with the highest overall positivity rate for the virus in the city of Philadelphia is also Oxford Circle, which reports an overall, all time positivity rate of 9.3%.[1]

The neighborhoods of Bustleton and Somerton in Northeast Philadelphia were particularly hard-hit by the COVID-19 pandemic. During the peak of the pandemic, multiple nursing homes in these neighborhoods reported over 80% positivity rates and death rates that exceeded 20%.[60] St. John Neumann Center for Rehabilitation & Healthcare, in Somerton, reported 40 deaths among residents and staff, the highest number of COVID-19 deaths at any single location (outside of a hospital) in the City of Philadelphia.[60] In October 2020, CMS stopped reporting the number of COVID-19 deaths at St. John Neumann Center for Rehabilitation & Healthcare. According to datasets published by the City of Philadelphia in 2021, Bustleton was the neighborhood with the most COVID-19 deaths in the city.[1] Approximately 0.6% of the total population of Bustleton perished from the virus.[1]

As of November 2021, the City of Philadelphia reported a total of 2,229 infections in its prisons during the pandemic.[1] The city reports that most of these cases were asymptomatic.[1] The city has not released data indicating how many prisoners have been hospitalized or have died due to COVID-19. In December 2020, following a large spike of at least 150 new, concurrently active cases of the deadly virus in Philadelphia prisons, the Department of Prisons instituted a "shelter in place" for the city's prisons, requiring inmates to attend court hearings remotely via telecommunication.[61]

See also

References

  1. ^ a b c d e f g h i j k l m n o p q "City of Philadelphia COVID-19 Overview". City of Philadelphia, Department of Public Health. July 20, 2020. Retrieved July 20, 2020.
  2. ^ Staff (March 10, 2020). "Philadelphia Reports First Case of New Coronavirus". NBC 10 Philadelphia. Archived from the original on April 13, 2020. Retrieved April 12, 2020.
  3. ^ "Coronavirus PA: State announces 16 new COVID-19 cases, bringing total to at least 63 across the commonwealth". Philadelphia, PA: 6 ABC Action News. March 15, 2020. Archived from the original on March 16, 2020. Retrieved March 15, 2020.
  4. ^ a b c Edwards, Erika (April 11, 2020). "Is Philadelphia the next coronavirus hot spot? Maybe not". NBC News. Archived from the original on April 17, 2020. Retrieved April 12, 2020.
  5. ^ "Coronavirus". PA Department of Health. Archived from the original on March 18, 2020. Retrieved April 7, 2020.
  6. ^ Whelan, Aubrey (March 30, 2020). "How Temple's Liacouras Center was transformed into a hospital site amid coronavirus pandemic". The Philadelphia Inquirer. Philadelphia, Pennsylvania. Retrieved March 30, 2020.
  7. ^ McDaniel, Justine; Verma, Pranshu; McCrystal, Laura (April 30, 2020). "Philly to wind down spare hospital as cases decline; New Jersey allows parks to reopen". The Philadelphia Inquirer. Philadelphia, Pennsylvania. Retrieved May 1, 2020.
  8. ^ "Coronavirus update: Gov. Tom Wolf asks Pennsylvanians to wear masks outdoors". Archived from the original on April 14, 2020. Retrieved April 13, 2020.
  9. ^ Aitken, Peter (March 11, 2020). "Philadelphia man not wearing face mask seen being dragged off bus". Fox News. Archived from the original on April 20, 2020. Retrieved April 12, 2020.
  10. ^ "Philadelphia COVID-19 cases top 6,000; 176 deaths". 6abc Philadelphia. April 12, 2020. Archived from the original on April 21, 2020. Retrieved April 12, 2020.
  11. ^ "White House names next likely COVID-19 hot spots". CIDRAP - Center for Infectious Disease Research and Policy. July 1, 2020. Archived from the original on November 16, 2020. Retrieved July 1, 2020.
  12. ^ a b c d Michael Tanenbaum (April 21, 2020). "Philly officials 'appalled' by improper transfer of bodies in pickup truck". Philly Voice. Archived from the original on November 16, 2020. Retrieved July 20, 2020.
  13. ^ "No Spike In Coronavirus Cases After Philly Protests: Officials". Philadelphia, PA Patch. June 16, 2020. Archived from the original on November 16, 2020. Retrieved June 25, 2020.
  14. ^ Hughes, Zachariah; Murphy, Darryl C. (May 29, 2020). "Coronavirus update: Details on Philly's June 5 reopening unveiled". Philadelphia, PA: WHYY. Archived from the original on November 16, 2020. Retrieved September 2, 2020.
  15. ^ Staff (June 12, 2020). "Philadelphia Restaurants Excited To Finally See Customers Again As Outdoor Dining Resumes Across City". Philadelphia, PA: KYW-TV. Archived from the original on November 16, 2020. Retrieved September 2, 2020.
  16. ^ "What you should know about green phase in Philadelphia". Philadelphia, PA: WPVI-TV. June 26, 2020. Archived from the original on November 16, 2020. Retrieved September 2, 2020.
  17. ^ Chinn, Hannah (June 30, 2020). "Pa. coronavirus recovery: Philly presses pause on reopening restaurants, gyms". Philadelphia, PA: WHYY. Archived from the original on November 16, 2020. Retrieved September 2, 2020.
  18. ^ Kent, Maggie (July 20, 2020). "Gyms, fitness centers reopen in Philadelphia with mask requirement". Philadelphia, PA: WPVI-TV. Archived from the original on November 16, 2020. Retrieved September 2, 2020.
  19. ^ "Philadelphia to resume limited indoor dining beginning Sept. 8". Philadelphia, PA: WTXF-TV. August 20, 2020. Archived from the original on November 16, 2020. Retrieved September 2, 2020.
  20. ^ Staff (September 29, 2020). "Philadelphia restaurants can expand to 50% indoor capacity on Friday". Philadelphia, PA: WPVI-TV. Archived from the original on November 16, 2020. Retrieved September 29, 2020.
  21. ^ a b "Philadelphia issues moratorium on large public events through Feb. 2021 amid coronavirus pandemic". FOX 29 Philadelphia. July 14, 2020. Archived from the original on November 16, 2020. Retrieved July 14, 2020.
  22. ^ Petrillo, Matt (April 12, 2020). "Coronavirus Philadelphia: Much-Needed Relief For Philly Nonprofits Expected This Week". philadelphia.cbslocal.com. Archived from the original on April 16, 2020. Retrieved April 12, 2020.
  23. ^ Marroni, Steve (July 26, 2020). "Hundreds gather at 2 block parties, Philadelphia police called to disperse crowds". The Patriot-News. Archived from the original on July 26, 2020. Retrieved July 26, 2020.
  24. ^ Ralph, Pat (July 28, 2020). "Philly schools reverting to remote learning through mid-November". Philly Voice. Archived from the original on November 16, 2020. Retrieved July 29, 2020.
  25. ^ Anderson, Greta (September 1, 2020). "COVID-19 'Outbreak' Declared at Temple University". Live Updates: Latest News on Coronavirus and Higher Education, Inside Higher Ed. Archived from the original on September 3, 2020. Retrieved September 3, 2020.
  26. ^ Solis, George (September 3, 2020). "Temple University to go virtual for rest of fall semester after COVID-19 outbreak". Philadelphia, PA: WPVI-TV. Archived from the original on September 4, 2020. Retrieved September 3, 2020.
  27. ^ Staff (October 13, 2020). "Philadelphia Eagles fans allowed back at stadium, city changes gathering limits". Philadelphia, PA: WPVI-TV. Archived from the original on November 16, 2020. Retrieved October 13, 2020.
  28. ^ Staff (November 11, 2020). "Philadelphia School District delays return of hybrid learning, will remain virtual 'until further notice'". Philadelphia, PA: WPVI-TV. Archived from the original on November 16, 2020. Retrieved November 15, 2020.
  29. ^ Staff (November 16, 2020). "Philadelphia announces sweeping new restrictions amid surge in COVID-19 cases". Philadelphia, PA: WPVI-TV. Archived from the original on November 16, 2020. Retrieved November 16, 2020.
  30. ^ Staff (December 22, 2020). "Philadelphia extends some citywide COVID-19 restrictions to January 15". Philadelphia, PA: WPVI-TV. Retrieved December 22, 2020.
  31. ^ Lee, Jaclyn (January 3, 2021). "Gov. Wolf to let some Pa. COVID-19 restrictions expire on Monday". Philadelphia, PA: WPVI-TV. Retrieved January 3, 2021.
  32. ^ Laughlin, Jason; Whelan, Aubrey (March 3, 2021). "Philly's FEMA mass COVID-19 vaccination site draws thousands to its official opening". The Philadelphia Inquirer. Retrieved March 16, 2021.
  33. ^ Staff (March 2, 2021). "Wells Fargo Center, Citizens Bank Park to allow fans after City of Philadelphia raises limits". Philadelphia, PA: WPVI-TV. Retrieved March 3, 2021.
  34. ^ Lee, Jaclyn; Staff (March 7, 2021). "Some Pre-K to 2nd grade Philly students return to in-person learning Monday". Philadelphia, PA: WPVI-TV. Retrieved March 7, 2021.
  35. ^ Lee, Jaclyn (March 16, 2021). "Philadelphia now accepting applications for special event permits". Philadelphia, PA: WPVI-TV. Retrieved March 16, 2021.
  36. ^ "Philadelphia will not adopt Pennsylvania's relaxed COVID-19 restrictions on April 4, health commissioner says". Philadelphia, PA: WPVI-TV. March 23, 2021. Retrieved March 23, 2021.
  37. ^ Han, Nydia (April 27, 2021). "City of Philadelphia to allow catered indoor events, increase restaurant and gathering capacity in May". Philadelphia, PA: WPVI-TV. Retrieved April 27, 2021.
  38. ^ Lee, Jaclyn; Cuellar, Dann (May 21, 2021). "Masks no longer required outdoors in Philadelphia; other mandates eased". Philadelphia, PA: WPVI-TV. Retrieved May 28, 2021.
  39. ^ "Philadelphia to drop additional COVID restrictions on June 2; indoor mask mandate remains". Philadelphia, PA: WPVI-TV. May 28, 2021. Retrieved May 28, 2021.
  40. ^ Staff (June 9, 2021). "Philadelphia to lift final COVID restrictions, including indoor mask mandate, on Friday". Philadelphia, PA: WPVI-TV. Retrieved June 9, 2021.
  41. ^ Staff (July 22, 2021). "Philadelphia again recommends masks for indoor public spaces, regardless of vaccination status". Philadelphia, PA: WPVI-TV. Retrieved July 22, 2021.
  42. ^ Brooks, Bob; Longo, Brandon (August 11, 2021). "New mask mandate announced for city of Philadelphia amid rise in COVID cases". Philadelphia, PA: WPVI-TV. Retrieved August 11, 2021.
  43. ^ Staff (August 13, 2021). "Philly mandates COVID vaccine for colleges, health care workers; updates mask rules". Philadelphia, PA: WPVI-TV. Retrieved August 13, 2021.
  44. ^ Brooks, Bob (August 25, 2021). "Philadelphia School Board votes to impose vaccine mandate for teachers, school staff". Philadelphia, PA: WPVI-TV. Associated Press. Retrieved August 26, 2021.
  45. ^ Staff (December 13, 2021). "Philadelphia rolls out COVID-19 vaccination requirements for indoor dining establishments". Philadelphia, PA: WPVI-TV. Retrieved December 13, 2021.
  46. ^ "Philadelphia officials urge against inter-household Christmas gatherings amid COVID-19 case spike". Philadelphia, PA: WTXF-TV. December 15, 2021. Retrieved December 15, 2021.
  47. ^ "Temple University announces plans to go virtual at start of spring semester". Philadelphia, PA: WPVI-TV. December 22, 2021. Retrieved December 22, 2021.
  48. ^ Staff; Solis, George (January 3, 2022). "81 Philadelphia schools going temporarily virtual due to staffing challenges related to pandemic". Philadelphia, PA: WPVI-TV. Retrieved January 4, 2022.
  49. ^ Staff (February 16, 2022). "Philadelphia drops COVID vaccination mandate for dining establishments; enters 'Mask Only' level". Philadelphia, PA: WPVI-TV. Retrieved February 16, 2022.
  50. ^ Staff (March 2, 2022). "Philadelphia moves to 'All Clear' response level; drops mask mandate". Philadelphia, PA: WPVI-TV. Retrieved March 2, 2022.
  51. ^ Staff; Katro, Katie (March 9, 2022). "Masks now optional in Philadelphia public, archdiocesan schools". Philadelphia, PA: WPVI-TV. Retrieved March 9, 2022.
  52. ^ Gomez, Alyana (April 5, 2022). "Philadelphia recommends masking indoors due to uptick in Covid cases". Philadelphia, PA: WPVI-TV. Retrieved April 5, 2022.
  53. ^ Lee, Jaclyn; Davis, Corey (April 11, 2022). "Philadelphia reinstates indoor mask mandate as COVID-19 cases rise". Philadelphia, PA: WPVI-TV. Retrieved April 11, 2022.
  54. ^ Staff (April 19, 2022). "SEPTA says masks will not be required in vehicles, stations and concourses". Philadelphia, PA: WPVI-TV. Retrieved April 22, 2022.
  55. ^ Staff; Lee, Jaclyn (April 22, 2022). "Wearing masks indoors is 'strongly encouraged' but not required in Philadelphia". Philadelphia, PA: WPVI-TV. Retrieved April 22, 2022.
  56. ^ Katro, Katie (May 23, 2022). "Masks required in Philadelphia School District starting Monday". Philadelphia, PA: WPVI-TV. Retrieved May 23, 2022.
  57. ^ "School District of Philadelphia will require masks for first 10 days of new year". Philadelphia, PA: WPVI-TV. August 12, 2022. Retrieved August 12, 2022.
  58. ^ Staff (September 11, 2022). "Masks no longer required in Philadelphia public schools beginning Monday". Philadelphia, PA: WPVI-TV. Retrieved September 11, 2022.
  59. ^ Staff (December 15, 2022). "Masks to be required in Philadelphia public schools for 10 days after winter break". Philadelphia, PA: WPVI-TV. Retrieved December 15, 2022.
  60. ^ a b "Nursing Home Data". Centers for Medicare & Medicaid Services. Retrieved July 26, 2020.
  61. ^ Samantha Melamed (December 5, 2020). "Philly prisons move to 'shelter in place' as COVID outbreak tears through jail". The Philadelphia Inquirer. Philadelphia, PA. Retrieved December 18, 2020.