To Reach Santa Barbara County's Vulnerable, Public Health Targeted COVID-19 Testing, Drop-In Sites

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.

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.

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.

Voting by mail will increase dramatically due to Covid-19 and drop boxes are one way to collect these ballots. Although fears of fraud have been unfounded, the GOP initiated lawsuits to block or limit drop boxes if they are not monitored so some states and districts place the boxes in government buildings and other places, such as libraries, that are staffed. While this slightly limits the hours that voters can drop off their ballots, it uses existing resources to provide supervision and increases voter confidence that their ballots will be received, especially among ongoing issues with the postal service.

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.

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.

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.”

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.