In Baltimore, a struggling, black-owned nursing home keeps covid-19 at bay

Although Taiwan and Canada saw the beginning of coronavirus outbreaks within days of each other, Taiwan has been able to better contain the spread. Using tactics such as integrating "its health insurance database with its immigration database" and using the military to help produce protective masks for medical workers, the Taiwanese government's aggressive approach offers lessons in how to use big data and regulations to stem the spread of infectious diseases.

South Korea has reported a reduction of new coronavirus cases thanks in part to rapid government regulations, widespread testing, and increased transparency. While other countries, such as the United States, have made a practice of only testing those showing symptoms, South Korea's success is linked to broader testing, contact tracing and alerting those who have possibly been in contact with an infected person.

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.

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 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.

Most states in the U.S. are struggling to effectively and efficiently distribute the COVID-19 vaccine, while "West Virginia became the first state to finish round one of the two-dose vaccine series in nursing homes." The key to the state's success included preemptively preparing a vaccination dissemination plan and partnering with independent and chain pharmacies.

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."

A mobile "strike team" comprised of workers from Contra Costa County, local home health agencies, advocates, and nonprofit groups is helping seniors living in assisted-living facilities to get access to the Covid-19 vaccine. Although the team is small, they have been able to help more than 800 seniors across 50 facilities get their first shot.