Accessible Rapid Response Testing Rolled Out in Communities of Color

The United States and Italy have been playing catch up in the mitigation of the coronavirus pandemic and were resistant to implementing social distancing, while other countries took more aggressive approaches. Now both countries are looking to China and South Korea to learn how sweeping actions and industrialized scaling of measures such as fever clinics, temperature check points, portable CAT scanning, and social isolation, have helped to contain the pandemic.

It wasn't until first cases of coronavirus were recorded in the United States that San Francisco and other U.S. cities took action to mitigate the spread, but in Chinatown, precautions started much earlier and the preparations seem to have worked. With only three recorded cases in Chinatown, the residents credit trust in authorities, community-driven communications, heightened hygiene practices, and the local Chinese Hospital, "which has strong ties to the community it serves."

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.

By rapidly instituting mandatory testing of all inmates at a covid-19-stricken federal prison and segregating ill inmates, authorities reduced the number of new infections within weeks. At one point, nearly 70% of the inmates at the Terminal Island federal prison in San Pedro, California, had tested positive for the coronavirus as it raced through a facility where inmates normally interact constantly in crowded communal areas. As of mid-May, eight inmates had died and more than 500 had recovered.

During the onset of the coronavirus pandemic, early efforts at contact tracing by different states in the U.S. proved successful when they relied on people instead of applications or software, which showed high rates of failure since people didn't seem to want to participate or download the applications. New York state relied on human contact tracers, specifically those who lived in the neighborhoods they track. "The city’s initiative has shown early success: As of June 16, it had reached 94% of all new positive cases."

The National Education Association has launched a school-focused COVID-19 case tracker in the U.S., all thank to the efforts of a Kansas theater teacher. Alisha Morris started with an excel sheet and took to online searches to start logging the number of positive cases, first around her state, and later was tracking 48 U.S. states. By the time she handed off the data to the NEA, Morris, along with various volunteers "had logged over nearly 4,300 cases at more than 1,000 schools."

Contact tracing apps have received a lot of attention since the onset of the coronavirus pandemic, but researchers caution they should be used in conjunction with other tactics and not be relied on to help on their own. However, an early study has indicated that even when only fifteen percent of the population downloads a contact tracing app, infection rates are reduced by eight percent and deaths are reduced by six percent.

When news of COVID-19 arrived in the West African Village of Dirty Box Junction, community members and local government were ready to act due to lessons learned from mistakes made during the Ebola outbreak of years earlier. The village along with the rest of sub-Saharan Africa immediately enacted measures – state of emergencies, mandatory screenings, and contact tracing, to name a few – that have kept their case count low, while the U.S. continues to see cases and deaths increase.

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.

13 Washington school districts are piloting COVID-19 testing. By doing so, they can catch stop asymptomatic people from spreading the virus, offer testing to families who might not have access, and add a “sense of security for many staff members who are nervous.” Three of the districts participating “have tested more than 4,000 people using nearly 10,000 tests.”