Blazing the trail: How coast slum flattened the curve

Hospitals across the United States are trying, in systematic ways, to reduce the risk of infection and other preventable dangers that can leave patients in worse shape after their stay. Some of the approaches include limiting entrances and exits during surgeries and administering antibiotics in a timely manner.

The South African Centre for Infectious Disease Surveillance is piloting a program to use smartphone technology to report and respond to infectious disease outbreaks. The program trains community members to recognize signs of infectious diseases, such as vomiting and diarrhea, and report them through their smartphones. These reports are relayed to a team of specialists who track the location and frequency of these reports to determine if an outbreak of disease is occurring and respond accordingly.

The coronavirus pandemic swept the nation at a time when many would be going to polling stations to cast their votes in primary elections, but vote-at-home practices are providing a solution for this civic inconvenience. Oregon, Washington, Colorado, and now Utah have all implemented statewide all-mail election campaigns that not only improve voter turnout, but also cost less to taxpayers than only relying on in-person polling booths.

Rather than send local residents to city-run testing sites in the East Bay of California, clinics in East Oakland are now running their own testing sites to better serve their community. Although one of the sites has already tested nearly 100 people and residents who are underinsured or uninsured can be tested for free, some believe the effort should have started much sooner.

To replace lost business and keep their employees on staff, Tasmanian businesses quickly diversified into new product lines to meet COVID-19-related demand. A camera accessories firm that saw nearly all of its sales to the film and TV industries dry up became a manufacturer of face shields. A plastic manufacturer increased its business by turning out acrylic counter-top protective screens. And a whiskey distillery began producing 2,000 liters of hand sanitizer per week.

Local businesses in Northeastern Ohio pivoted their operations to manufacture supplies needed to fight Covid-19 in an effort to fill a dire public need while preserving jobs for their employees. Employees were trained in industrial sewing machines to create masks, gowns, and other personal protective equipment for those on the frontlines. A Small Business Recovery grant allowed a distillery to use its existing technology to produce hand sanitizer instead of whiskey. Face shields were particularly tricky to produce effectively but 30 Northeast Ohio companies came together to create a custom product.

Health officials in North Carolina have shown that contact tracing can successfully identify those who have been exposed to COVID-19. The efforts of the contact tracers in one county resulted in 35 people being quarantined after an exposure to the virus during a child's birthday party, however that was only possible because of those individuals "were willing to be open and honest and forthcoming."

The state of Vermont has been able to keep COVID-19 cases to a minimal, at least in part by focusing on offering preventive protections for the most at-risk and vulnerable – such as the unhoused. The state's response has included "state-supported housing for the homeless, hazard pay, meal deliveries, and free, pop-up testing in at-risk communities," all of which prioritize high-risk populations rather than those who can easily self-isolate at home.

The CARES Act was meant to help small businesses, including hospitals, find financial stability during the coronavirus pandemic, but confusing guidelines and a lack of oversight have impeded the success. This reality has been especially difficult for rural hospitals, some of which "have left millions in relief aid untouched, spiraling deeper into debt for fear that the wrong decision could force them to return money."

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.