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NC's Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases

Award Number: NU51CK000341
ORGANIZATION: NATIONAL CENTER FOR ZOONOTIC, VECTOR-BORNE, AND ENTERIC DISEASES
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 08/01/2024
PERIOD OF PERFORMANCE END DATE: 07/31/2029

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NC's Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases - North Carolina is the 9th most populous U.S. state, with an estimated population of nearly 11 million persons. The population has grown more than 12% since the 2010 census, and demographers suggest that our state will become the 7th most populous state by the early 2030s. While the majority of the population (57%) is concentrated in metropolitan statistical areas, most of our counties (71 of 100) remain rural. According to CDC, rural Americans face numerous health disparities compared with their urban counterparts due to a variety of factors including higher rates of poverty, less access to healthcare and public health services, and lower rates of health insurance coverage. During the COVID-19 pandemic, these factors contributed to higher mortality rates among persons in rural counties. Furthermore, recent studies have shown a widening gap in childhood vaccination rates between urban and rural residents, increasing the risk of infectious diseases in rural communities. During 2023, the Communicable Disease Branch received and reviewed slightly more than 157,000 reportable events. Following case investigation, more than 120,000 of these case reports were determined to meet criteria for reporting and national notification and submitted to CDC as part of the National Notifiable Disease Surveillance System. Additionally, as of March 27, 2024, in BP5 our epidemiologist on call had processed reports from local health departments of 1,515 possible outbreaks, and answered 2,235 calls from local health departments, medical providers, and the general public. The overall communicable disease burden in North Carolina in comparison to other US states is difficult to quantify, but several infectious diseases have increased significantly in recent years. These include E. coli, carbapenemase-producing organisms, invasive meningococcal disease, legionellosis, and syphilis. In addition, we continue to experience high rates of COVID-19 associated mortality and continue to receive new reports of mpox infections. North Carolina is a national leader in livestock farming, with chicken, turkey, and pig production among the top 3 states. The scope and scale of these industries in the state as compared to other states presents an increased risk for infections with zoonotic potential, as demonstrated by recent outbreaks of highly pathogenic avian influenza in North Carolina poultry farms and in one dairy herd. This threat requires close collaboration between public health and agriculture to ensure adequate capacity exists for surveillance, investigation, and response. Since antibiotics are commonly used in the livestock industry, robust epidemiology and laboratory capacity is also needed to detect and respond to antimicrobial disease threats at the human-animal interface. Tracking respiratory diseases is a top priority in North Carolina. We have a very robust surveillance infrastructure consisting of our case-based reporting system, North Carolina Electronic Disease Surveillance System (NC EDSS); our syndromic surveillance system, North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT); the North Carolina Wastewater Monitoring Network; and the Laboratory Information Management System (LIMS). Significant investments in surveillance and public data sharing for influenza, RSV, and COVID-19 have translated to more informed individual risk-based decision making and have helped raise awareness of racial and ethnic disparities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $1,750,000 )
2026	2026	NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	1915 HEALTH SERVICES WAY	RALEIGH	NC	27607	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	04	2	3/10/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,750,000
2026	2025	NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	1915 HEALTH SERVICES WAY	RALEIGH	NC	27607	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	04	2	3/10/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	03	2	12/3/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	03	2	12/3/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	1915 HEALTH SERVICES WAY	RALEIGH	NC	27607	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	04	2	3/10/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,750,000

Issue Date FY: 2025 ( Subtotal = $6,580,737 )
2025	2025	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	04	1	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,873,405
2025	2025	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	00	2	7/30/2025	NON-COMPETING CONTINUATION	$2,296,087
2025	2025	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	02	2	9/24/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,411,245
2025	2025	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	05	1	4/2/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	01	2	8/4/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	04	1	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	01	2	8/4/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	02	2	9/24/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	00	2	7/30/2025	NON-COMPETING CONTINUATION	$0
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	05	1	4/2/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $6,580,737

Issue Date FY: 2024 ( Subtotal = $8,184,731 )
2024	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	03	1	8/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$699,722
2024	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	02	1	7/24/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	01	1	7/22/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)	00	1	7/9/2024	NEW	$7,485,009
														Subtotal = $8,184,731

Grand Total All Awards = $16,515,468

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NC's Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases

Award Number: NU51CK000341

ORGANIZATION: NATIONAL CENTER FOR ZOONOTIC, VECTOR-BORNE, AND ENTERIC DISEASES

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 08/01/2024

PERIOD OF PERFORMANCE END DATE: 07/31/2029

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