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This first-of-its-kind report brings together political science data with public health insights on the spread of COVID-19 to conclude that the safety of in-person voting during the 2020 elections depends on expanding absentee voting, eliminating polling place congestion, and reducing wait times at polling stations. The report reviews existing medical literature on risk factors for COVID-19, political science research on congestion during voting, and evidence of the public health impacts of the 2020 primary elections to create urgent policy recommendations for the November general election.