This report describes the features and capabilities of a national surveillance system to mitigate the current COVID-19 pandemic wave and to limit and suppress future outbreaks. Developing these capabilities in each state and region will enable the U.S. to move beyond extreme and disruptive physical isolation measures. The proposed COVID-19 surveillance system builds on existing models and principles of public health surveillance, but recognizes that the transmissibility and virulence of COVID-19 require a much more substantial capacity for rapid detection and public health response.

Timely and efficient implementation of such a surveillance system will require ongoing coordination between health care providers and state and local public health authorities, with Federal support coordinated through the Centers for Disease Control and Prevention (CDC) to achieve effective implementation throughout the country as soon as possible, and certainly in time for the Fall, when COVID-19 may become a seasonal threat.