The US has at least 33 states/territories with COVlD outbreaks. These include Alaska, Hawai’i, Guam, Puerto Rico, the US Virgin Islands, Washington, Oregon, California, Nevada, Arizona, New Mexico, Montana, Colorado, Texas, Louisiana, Mississippi, Alabama, Georgia, Florida, Arkansas, Missouri, Illinois, Indiana, Kentucky, Tennessee, Michigan, Ohio, North Carolina, Virginia, West Virginia, Pennsylvania, Connecticut, and Rhode Island. There are likely outbreaks in additional states. The summary statistic of 33 only includes counties with observed data, rather than estimated data. For example, South Carolina and Oklahoma likely have outbreaks, but monitoring is poor.