To reach vulnerable populations, Berkeley goes on the road to offer COVID-19 testing

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

Despite avoiding mass bans on citizen movement, South Korea has managed to mitigate the number of reported cases for coronavirus after implementing broad testing protocols. Having learned what didn't work during a previous outbreak of a respitaroy illness, the country "created a system to allow rapid approval of testing kits for viruses which have the potential to cause pandemics."

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.

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.

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.

Priya Living is an elder-living community focused on Indian culture. Priya Living has four locations throughout the state and is planning to expand in Michigan and Texas. Rent in the condo-style units ranges from $2,000 to $3,000 a month and currently serves over 530 people. This culture-focused community helps the aging population fight loneliness and find a sense of community with people they can relate to through activities and programming like yoga, movie screenings and down time to chat.