The 1989 ICF Canoe Slalom World Championships were held on Savage River in Garrett County, Maryland (western part of the state) near Pittsburgh in the United States under the auspices of the International Canoe Federation. As of 2009, it is the only time the championships have ever been held in the United States. Italy won its first ever medal at these championships.
References
1989 ICF Canoe Slalom World Championships Wikipedia(Text) CC BY-SA