From the Document: "American Samoa is the only territory of the United States south of the equator. Currently, the main health issue is related to chronic diseases with an increase in the prevalence of obesity. This upsurge in obesity is associated with a number of conditions such as hypertension, cardiovascular disease, type II diabetes, arthritis, gout and various forms of cancer, conditions that have shown to increase risk of severe manifestation symptoms of COVID 19 [coronavirus disease 2019] and death. Fortunately, American Samoa currently does NOT have any confirmed cases of COVID 19. As of May 28, 2020, a total of 208 individuals have been tested since March 14, and all have tested negative."
U.S. Department of Health and Human Services: https://www.hhs.gov/