Almost 3 years since the first case of COVID-19 was reported in the Caribbean Region and the COVID-19 outbreak was designated a pandemic, COVID-19 cases are still occurring in our communities. In light of this, the Caribbean Public Health Agency (CARPHA) is encouraging Ministries of Health to maintain surveillance of severe acute respiratory illness; hospitalisations and deaths, PCR testing and gene sequencing of severe hospitalised cases; and hospital intensive care to avoid deaths.