Houston Chronicle

Heed rules? Holiday will test virus guidelines

- By Michael Rubinkam

In Pennsylvan­ia, if you’re having friends over to socialize, you’re supposed towear a mask — and so are your friends. That’s the rule, but Barb Chestnut has no intention of following it.

“No one is going to tell me what I can or not do inmy ownhome,” said Chestnut, 60, of Shippensbu­rg. “They do not pay my bills, and they are not going to tell me what to do.”

As governors and mayors grapple with an out-of-control pandemic, they are ratcheting up mask mandates and imposing restrictio­ns on small indoor gatherings, which have been blamed for accelerati­ng the spread of the coronaviru­s. But while such measures carry the weight of law, they are, in practical terms, unenforcea­ble, and officials are banking on voluntary compliance instead. Good luck with that. While many are undoubtedl­y heeding public health advice — downsizing Thanksgivi­ng plans, avoiding get-togethers, wearing masks when they’re around people who don’t live with them — it’s inevitable that a segment of the population will blowoff newstate and local restrictio­ns and socialize anyway. Experts say that could put greater stress on overburden­ed hospitals and lead to an even bigger spike in sickness and death over the holidays.

“When this started in early March, we weren’t staring at Thanksgivi­ng and Christmas, and we didn’t have the disease reservoir that we have. Andthat, tome, is the biggest concern in the next few weeks,” said Dr. David Rubin, the director of Policy Lab at Children’s Hospital of Philadelph­ia. He called the risk of a Thanksgivi­ng spike “extremely high.”

“I think you’re seeing a lot of resistance here,” Rubin said. “I can’t speculate on what people are going to do, but I can say that to the degree that there isn’t a collective buy-in here, it sort of blunts the impact of the measures themselves.”

The nation is averaging1­72,000 new virus cases per day, nearly doubling since the end of October, according to Johns Hopkins University. Hospitaliz­ations, deaths and the testing positivity rate are also up sharply as the nation approaches Thanksgivi­ng.

In response, elected officials are imposing restrictio­ns that, with some exceptions, fall short of the broad-based stay-at-home orders and business shutdowns seen in the spring.

Utah and Vermont have banned all social gatherings. So have local government­s in Philadelph­ia and Dane County, Wisconsin. In Kentucky, no more than eight people from two households are permitted to get together; in Oregon, the gathering limit is six. California has imposed an overnight curfew. More states are requiring masks, including those with GOP governors who have long resisted them. The nation’s top health officials are pleading with Americans to avoid Thanksgivi­ng travel.

Dr. Debra Bogen, the health director for Allegheny County, Penn., which includes Pittsburgh, said that too many have been ignoring public health guidance and that the result has been unchecked spread of the virus.

“For the past few weeks, I’ve asked people to follow the rules, curtail gatherings and parties, stay home except for essentials, and wear masks. I’m done asking,” Bogen said, her frustratio­n palpable. She announced a stayat-home advisory that she said would turn into an order if people didn’t comply.

Kim Collins is among those planning a slimmed-down Thanksgivi­ng. In a typical year, Collins would have as many as 20 people at her home in South Orange, N.J. This year, her extended family is staying put. “My husband’s having a hard time with the fact that his mom, who’s on her own, won’t be here,” she said.

But Collins wasn’t optimistic that others would be so careful. She said plenty of people are going through “mental gymnastics” to justify their holiday get-togethers. “I think that a lot of people aren’t great at the honor system,” she said.

 ?? Matt Slocum / Associated Press ?? Governors and mayors have put mask mandates and social gathering rules in place, but there are many who resist them.
Matt Slocum / Associated Press Governors and mayors have put mask mandates and social gathering rules in place, but there are many who resist them.

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