Global lessons for Santa Cruz in the COVID-19 response

In order to effectively manage the coronavirus outbreak in South Korea, government officials have stepped in by increasing transparency, subsidizing home medical equipment such as face masks, and rapidly distributing testing kits. The efforts have resulted in many more people already being tested than anticipated and behavioral changes taking effect within the population.

While many countries are struggling to control the spread of the recent coronavirus outbreak, South Korea has reported a decline in daily caseloads due to their rapid and comprehensive response. By expanding testing sites to include drive-throughs, canceling events and implementing more thorough testing protocols in their international airport, the country has offered lessons for others who have not yet determined a course of action.

As California’s Bay Area is weeks into its shelter-in-place order – the first in the nation – experts are seeing indications that it’s working in the fight against COVID19, but at the same time needs to continue. Health officials are seeing signs that the increase of cases could be flattening, which was the goal of social distancing, and has been giving the area more time to prepare for a spike, which other experts say is inevitable. Either way, the stay-at-home mandate is helping reduce strain on the healthcare system.

In Japan, the southwestern region of Kansai is less predicated by government oversight and relies more strongly on independence. In the Wakayama prefecture, that attitude has resulted in the region's leaders implementing an independent approach to battling the coronavirus outbreak. The approach, which utilizes widespread testing and contact tracing, is now being regarded by other regions as a model of success.

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.

Eastern Shoshone and Northern Arapaho tribes share land, and despite previous disagreements, they collaborated to create one of the state's most effective coronavirus testing clinics. 3,000 people from both tribes have been tested, about 30% of all tests done in Wyoming. The two nations have also helped residents, impacted by casino closures and sharp drops in oil and gas revenues, with special hunting seasons, food supply distributions, and providing quarantine housing. More testing has meant higher cases identified, which has led some to create a narrative blaming Native people for the spread of the virus.

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 coronavirus made cramped or high-risk polling locations untenable so at least 39 sports arenas have opened up their facilities for voting. Their expansive size allows them to welcome large numbers of voters while maintaining social distancing protocols. Many are outdoors, which lowers the risk of transmitting the virus even further. Prompted by calls from athletes, arena owners’ site the summer’s racial-justice demonstrations as inspiration for supplying the spaces since voting is a key way to create definitive changes. Voters were thrilled to cast their ballots in a sports arena.

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."