AUTHOR=Sandifer Paul A. , Singer Burton H. , Colwell Rita R. TITLE=The U.S. Needs a National Human Health Observing System JOURNAL=Frontiers in Public Health VOLUME=Volume 9 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.705597 DOI=10.3389/fpubh.2021.705597 ISSN=2296-2565 ABSTRACT=• The COVID-19 pandemic and increasing frequency of environmental disasters reveal an urgent need for a health observing/surveillance system • With the possible exception of Brazil, we know of no such system • The US should create a national system of linked regionally-based health monitoring systems similar to those for weather, ocean conditions, and climate • Like those for weather, the health observing system should operate continuously, collecting mental, physical, and community health data before, during, and after events • The system should include existing cross-sectional health data surveys, along with significant new investment in regional longitudinal cohort studies • The recently described framework for a Gulf of Mexico Community Health Observing System is suggested as a potential model for development of a nation-wide system