As soon as the Republic of Georgia’s National Center for Disease Control and Public Health (NCDC) sounded an alarm about a cluster of unusual pneumonia cases in Wuhan, China, Prime Minister Giorgi Gakharia’s government set its pandemic response into motion.  It was early January 2020, and there was still no hard evidence that the infection had spread across borders, but the country’s health leaders were wary. As outbreaks of the virus, identified as COVID-19, began to appear in other countries, the government quickly created a multisectoral coordination council chaired by the prime minister and then adopted a number of emergency response measures. Working with a network of local public health centers, the NCDC launched a communications blitz, with scientists and physicians at the forefront. The public health campaign encouraged compliance with stringent—and unpopular—lockdown measures. Through the first half of 2020, the weekly number of new cases remained low, even as infections surged in many high-income industrial countries. But it was too early for a victory lap. Pressure grew to open up resort centers during July and August in an economy heavily dependent on tourism. During September, October, and November the number of new cases per day climbed sharply, driven mainly by expansion of the outbreak in Adjara, a vacation destination. Compared to most European countries, the incidence of disease remained low, however, and the number of new infections later plummeted, approaching initial levels by March 2021. This case study highlights how a small, middle-income country with a privatized and decentralized health-care system initially succeeded in its pandemic response, struggled with sharp reversals, and then brought the infection rate close to earlier levels prior to vaccine distribution.

Tyler McBrien drafted this case study based on interviews conducted with Nona Tsotseria, MD, PhD, in January and February 2021. Case published June 2021. This case study was supported by the United Nations Development Programme Crisis Bureau as part of a series on center-of-government coordination of the pandemic response.

The views expressed in this publication are those of the author(s) and do not necessarily represent those of the United Nations, including UNDP, or the UN Member States.

In early 2020, a novel coronavirus spread from Wuhan, China, to almost every corner of the globe. COVID-19 caused devastation in every country where it gained a foothold and was allowed to spread through the population. When the first cases hit New Zealand at the end of February and beginning of March, Prime Minister Jacinda Ardern moved decisively by adopting a “go hard, go early” lockdown strategy to stop the virus from spreading across the island nation. Behind Ardern stood a small cadre of civil servants and infectious disease experts who studied the rapidly evolving science of pandemic response—and the virus itself—and made policy recommendations to Ardern and her cabinet. Behind that response team stood a battalion of police, healthcare professionals, and other essential workers ready to implement the policies. And behind them stood everyday New Zealanders—whom Ardern referred to as “the team of 5 million”—who gave up personal freedoms for the greater good during a mandatory national lockdown. A far-reaching and comprehensive communication effort drove strong public acceptance as the government shifted health directives and policies in response to the fast-changing situation. After May 1, the country went 102 days with no locally transmitted cases of the virus. However, a new outbreak of cases in August plunged Auckland, New Zealand’s largest city, back into lockdown and made clear that extreme vigilance was necessary to protect New Zealanders from the pandemic raging abroad.

Blair Cameron drafted this case study based on interviews conducted in Wellington, New Zealand, in July and August 2020. Case published September 2020.