Detailed Respiratory Virus Surveillance Dashboard
March 29, 2023: Trends in reported case rates by vaccination and booster status have become difficult to interpret due to a number of factors, including: higher prevalence of previous infection among the unvaccinated and un-boosted groups; difficulty in accounting for time since vaccination and waning protection; and potential biases related to differences in testing practices (e.g., at-home tests) and prevention behaviors. Therefore, hospitalizations and deaths by vaccination status are no longer being included in the weekly Respiratory Virus Surveillance Summary report.
April 9, 2025: The COVID-19 variant dashboard is no longer being updated as of April 9, 2025, due to federal funding cuts impacting NCDHHS staffing. National COVID-19 variant data is available from the CDC. Past North Carolina data on COVID-19 variants remains available: (Archive) COVID-19 Variants Detected.
December 10, 2025: Due to federal funding cuts there were weeks where not all hospital-based public health epidemiologist network systems were reporting respiratory data. From June 29, 2025 to October 25, 2025, two systems were impacted and from October 25, 2025 to November 30, 2025 one system was impacted. All hospital-based public health epidemiologist network systems have resumed reporting.
Active Dashboards
- Summary
- Wastewater Monitoring
- Vaccinations
- Detailed Respiratory Virus Surveillance
- Data Behind the Dashboards
Archived Dashboards
Is North Carolina seeing a continued downward trajectory or sustained leveling of COVID-Like Illnesses (CLI) in its surveillance systems?
The North Carolina Department of Health and Human Services (NCDHHS) is using all available tools to monitor the spread of COVID-19 across the state. In addition to tracking and reporting of laboratory-confirmed cases, NCDHHS is using many of the same systems that are used to track influenza and other respiratory illnesses each season.
Mild COVID-19 illness presents with symptoms similar to influenza-like illness, so surveillance systems that have historically been used during influenza seasons are being used to track trends of mild COVID-19 illness and allow for comparison with prior influenza seasons. Limitation: These numbers represent only people seeking care in the Emergency Department (ED).