The purpose of this application is to demonstrate our existing capacity to conduct population-based surveillance of children, adolescents, and adults with CSTE-defined confirmed COVID-19 infection to examine descriptive epidemiology, post COVID-19 conditions (PCC), and other outcomes over time. This proposal addresses the public health problem described in the notice of funding opportunity by providing the data needed to: 1) conduct a standardized population-based approach to estimate and track PCC by age, sex, race/ethnicity, geographic area, severity of initial infection, and risk factors among persons with evidence of SARS-CoV-2 infection based on the Council of State and Territorial Epidemiologist (CSTE) case definitions for confirmed cases or laboratory confirmed evidence of infection; and 2) monitor at least 1,000 persons to determine how PCCs change over time at 3-, 6-, 12-, and 18-months post infection. The project design permits the monitoring of special sub-populations (e.g., race/ethnicity, pre-existing comorbidities, sociodemographic barriers, age) and identification of factors that could inform development of effective secondary prevention strategies. We describe the approaches that will be utilized to create:
(OC1) Improved ability of the recipient to provide completeness, timeliness, and quality of PCC surveillance data
(OC2) Improved accuracy in defining the populations at risk for PCC based on evidence SARS CoV 2 infection
(OC3) Improved data exchange and use among public health, community and health care
(OC4) Improved collaboration and data sharing
(OC5) Develop Staff to increase capacity and improve surveillance system