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Political cooperation and an infrastructure of existing relationships and trust built by NGOs and community leaders during Hurricane Maria and a devastating 2019 earthquake allowed for a quick public health response to COVID-19 focused on prevention and vaccination. All trusted public figures, across political backgrounds, advocated wearing masks and getting vaccinated. As a result, Puerto Rico achieved the highest COVID-19 vaccination rate among all other U.S. state or territory. It also had among the lowest Covid-19 death rates since the start of the pandemic.

Taiwan was among the first countries to respond to COVID-19 with decisive actions that contained the virus’ impact on the population. Its 2003 experience with the SARS virus provided an established infrastructure to focus on eliminating the virus rather than its mitigating spread. In-bound travel was quickly regulated, a centralized office coordinated responses across sectors, and clear communication campaigns limited disinformation. Officials temporarily authorized “intrusive data collection measures” to track, trace, and isolate infections and masks were required and made widely available.

China has seen success in containing the coronavirus through strict governmental oversight but when the virus made its way to Vietnam – a country with similar rule – the government enacted more transparent approaches and relied on social networks to mitigate the spread. Although it is yet to be seen if one methodology was superior to the other, Vietnam's strategy of accountability and transparency has "proved to be effective and furnished positive results."

In Taiwan, a combination of "early intervention and a well-oiled command structure" have helped to mitigate the spread of the coronavirus. Measures such a public health hotline, temperature check points, enhanced hygiene protocols, integrated databases, and a diversion of funds and military personnel towards making protective masks, all worked together to slow the spread and offer lessons to the countries still fighting an increasing caseload.

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.

Because of drastic and proactive steps, Taiwan has been able to keep their number of positive COVID19 cases low. Preemptive actions like stopping flights from China and an early stimulus bill has helped the country get ahead of the public health and economic impacts.

The island of Malta fully vaccinated 90% of the population over the age of 12 against COVID-19 relatively quickly. They quickly vaccinated the most vulnerable in the population, including the elderly and healthcare workers and sent mobile clinics to where the population was. This, along with an effective media campaign that answered questions and dispelled misinformation, was particularly important in getting people, especially young people, vaccinated. A nationwide culture of trust in doctors was very important in the vaccination success.

The key to United Airlines successful vaccine mandate, even in areas that have low vaccination rates, was gradually phasing in the mandate after a year-long effort laying the groundwork. The airline worked with the union to set up vaccine clinics at its major hubs and offered incentives to employees who got vaccinated. Incentives, like extra pay or vacation days that declined over time until they expired, led the majority of employees to get vaccinated, and the mandate proved to be the final push that was needed.

Wayanad is the first district in Kerala to have vaccinated the entire adult population with at least one COVID-19 vaccine. Rather than waiting for people to make appointments, officials went door-to-door providing all adults with appointment times. The district’s efforts started early, setting up vaccine infrastructure and assigning people appointment dates by where they live. Rapid Response Teams conducted outreach and education efforts, particularly among tribal populations, and made sure people showed up at their appointment. Getting vaccinated with their neighbors also decreased vaccine hesitancy.

The Greater Lowell Health Alliance offered COVID-19 vaccines using a “block party” model where community members enjoy free food, music, activities, and even childcare, while also having access to information about vaccines in multiple languages as well as the ability to actually get vaccinated. This model reduced barriers for immigrants, refugees, and other people who don’t speak English fluently, as well as caregivers who can’t attend vaccine appointments due to their caregiving responsibilities. The relaxed environment, where loved ones can support each other, increased comfort with getting the vaccine.