Alternative care sites (ACS) across Egypt were widely underutilized during the 
coronavirus (COVID-19) outbreak, while the number of patients and severity of 
their cases overwhelmed the healthcare system. The challenges brought on by the 
pandemic have shown the necessity of designing surge capacity to control the 
situation. This research aims at reviewing some successful response actions of the 
Republic of China and the United States of America in creating alternative care 
sites. That was through archival data analysis and comparison between different 
approaches across the two countries. The study can help by reflecting on Egyptian 
policies and strategies to relief stress on the healthcare system.