1,*; Catherine V. Donovan, PhD1,2,*; Margaret Campbell, MSN3; Thevy Chai, MD4; Kenneth Pittman, MHA4; Arlene C. Seña, MD5; Audrey Pettifor, PhD5; David J.
Weber, MD5; Aditi Mallick, MD6; Anna Cope, PhD1,7; Deborah S. Porterfield, MD1; Erica Pettigrew, MD, JD3,8; Zack Moore, MD1 (View author affiliations)Before August 2020, minimal data were available about outbreaks and disease transmission in institutes of higher education within the United States.A North Carolina university experienced a rapid increase in COVID-19 cases and clusters within 2 weeks of opening the campus to students.
Student gatherings and congregate living settings, both on and off campus, likely contributed to the rapid spread of COVID-19 in this setting.Enhanced measures.