important to the region and also benefits some members of the tribes. There have been a few deaths at the Rally. Rallies during the COVID-19 pandemic Concerns about the possible spread of the COVID-19 pandemic and travel restrictions were expected to lead to lower attendance in 2020. The 2020 final traffic count was about 462,000. While some health officials and local leaders wanted to cancel the rally, that proved impossible since many events take place beyond the city limits. The 250,000 participants were recommended but not required to wear face masks in a state that had seen 9,371 confirmed cases, and 144 deaths due to contraction of COVID-19 (0.016% of the population). Several checkpoints to stop outsiders were put up on the Cheyenne River Indian Reservation, an action that state and federal officials consider illegal. The 2020 final traffic count was about 462,000, with many attendees not wearing masks or observing social distancing. Cell phone data showed that by August 25, 2020, 61% of US counties had been visited by a Sturgis attendee. As of August 20, 2020, seven COVID-19 cases in the Nebraska Panhandle had been traced to the Rally, and 22 cases had been reported among out-of-state attendees. As of August 21, 2020, Minnesota had 15 cases traced to the rally, with more cases expected, and a few cases had been reported in Wyoming. Public health notices were issued for One-Eyed Jack's Saloon, The Knuckle Saloon, The Broken Spoke, and Asylum Tattoo in Sturgis, and for the Bumpin’ Buffalo Bar and Grill in Hill City. Some exposures in Minnesota could not be traced to specific locations. A Minnesota public health official urged all rallygoers to monitor for symptoms for 14 days, adding that "if you are feeling ill after returning from the event, please get tested and self-isolate while you wait for the test results." By August 24, 2020, there were a total of 76 cases linked to the rally, in four states, South Dakota, Minnesota, Nebraska and Wyoming, with additional reports of cases in North Dakota and Washington State. The number rose to 103 on August 24, in at least eight states, including 37 cases in South Dakota, and cases in Wisconsin, Montana, Wyoming, Nebraska, Washington and North Dakota. On August 26, 6 cases were reported in New Hampshire. On August 27, over 20 cases were reported in Colorado. Two of the cases reported in Minnesota were