One peninsula tribe's journey through a year of coronavirus

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.

Local staples in Latino neighborhoods like carnicerias, liquor stores, tienditas, and gas stations are standing strong on the front line to continue to provide essentials people need during the coronavirus. As other supermarkets are ransacked, these businesses make sure to remain well-stocked with policies that limit the number of items and customers. Locals testify to the importance of having a corner store that anchors the community together during this crisis.

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.

A coalition of local groups in the Cowichan region focused on the welfare of vulnerable populations during COVID-19 opened five tenting sites that have provided people experiencing homelessness with safety, meals, and access to service. The temporary solution, pending the opening of 100 units of housing to open in 2021, has uncertain financing after its initial $392,000 phase. But, almost immediately, the well-managed sites have had a visible effect: many fewer people wandering the streets.

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 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."

In an effort to help get accurate information to the communities who are being disproportionately impacted by the coronavirus pandemic, a program called Live Chair Health has started to train barbers "on chronic issues that disproportionately affect Black communities" and teach them "how to have conversations with their clients about the diseases." Aside from providing COVID-19 information, the initiative has helped patrons access primary care and address other medical issues such as high blood pressure.

The Ajo Center for Sustainable Agriculture has helped the town of Ajo in Arizona distribute affordable and nutrient-dense food to the community after the coronavirus pandemic created a significant financial strain on many families. Additional support has come from the town's participation in the Environmental Protection Agency's program Local Food, Local Places which "provides technical support and expertise to help towns leverage food systems to boost economic development."