Handling the herd: how Boston built its massive covid testing apparatus

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.

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.

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.

As the U.S attempts to reopen, restaurant owners from California to Florida are expanding their restaurants into nearby outdoor space, including sidewalks and parking lots. In doing so, they are able to offer patrons a safer dining environment, as there is more room to keep tables further apart and follow social distancing precautions, and it also helps restaurants earn more revenue than if they were limited to indoor space. Some city governments are streamlining the process, including Brookhaven, Georgia, which made it free to access short-term permits for outdoor dining.

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.

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.

Administrators at Mora Independent School District have discovered that the best way to help keep their students fed during the coronavirus pandemic is to offer as many flexible options as possible. The schools have mailed meals, as well as delivering them via school buses, and offered in-school pick-up. Before closing schools, only 100 families received meals, and that number has now increased to 400 families, and schools all over New Mexico want longer-term solutions. They've now incorporated libraries and community centers to expand food accessibility.

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.

Milan’s tampone sospeso or “suspended test” initiative provides rapid COVID-19 tests to stop the spread of the virus. The initiative sets up in highly visible public areas of Milan and is based on a model of mutual support where everyone pays what they can. It is run with the help of over 50 volunteers and Medicina Solidale, a group of medical professionals who provide free medical advice to those who can’t afford to access care. The project has raised 24,000 euros from 436 donors, which has enabled them to administer rapid antigenic swabs to more than 3000 people.