North Carolina

Elk Falls River North Carolina
At a Glance
  • State Population: 10,383,620
  • Local Health Departments: 85
  • Frequent Public Health Emergencies: Communicable Disease Outbreaks, Environmental Contamination, Tropical Storms/Hurricanes
  • Key Emergency Operations Center Activations: 2020: COVID-19 Pandemic; 2019: Lung Injury and E-Cigarette Investigation, Hurricane Dorian; 2018: Hurricane Florence
  • CDC PHEP Funding:
    FY 2020: $15,108,972
    FY 2019: $15,356,128
    FY 2018: $14,815,296
PHEP-Funded Staff
  • Epidemiologists: 4
  • Laboratorians: 15
  • Educator: 3
  • Health Professionals: 11
  • CDC Preparedness Field Staff: 3
  • Other*: 36

*Includes IT specialists, administrative staff, statisticians, and other positions

Top 5 Preparedness Investments
  1. Public Health Laboratory Testing
  2. Public Health Surveillance and Epidemiologic Investigation
  3. Medical Countermeasure Dispensing and Distribution
  4. Community Preparedness
  5. Information Sharing
Stories from the Field
North Carolina E-coli
PHEP Protects North Carolina Residents from E. coli Outbreak

In North Carolina, the PHEP program funded and partnered in the development of a surveillance system, NCDETECT, that integrates disease data from different sources across the state so responders can easily detect disease outbreaks. Sources include hospital emergency departments, a 24/7 public hotline, and others. In June 2018, NCDETECT enabled North Carolina to stop an outbreak of a rare strain of E. coli from spreading in one apartment complex. Fifty people were hospitalized. The state used NCDETECT to track these patients and their diagnoses and monitor their contacts. As a result, the state quickly identified and contained the outbreak with no reported deaths.

North Carolina Hurricane Matthew
Responding to Hurricane Matthew

In October 2016, Hurricane Matthew made landfall in southeastern North Carolina as a Category 1 storm, causing catastrophic flooding and killing 28 people. 16 PHEP-funded staff logged 921 hours coordinating response activities. Due to agreements with surrounding states established through the PHEP program, North Carolina began the process of receiving 20 public health nurses from Tennessee within just three hours of requesting support. The public health nurses, along with North Carolina environmental health specialists, staffed shelters, inspected facilities, and conducted well water and septic system testing in flood-affected areas.

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Page last reviewed: February 26, 2021, 10:45 AM