Long COVID can make everyday activities harder. Using the 2023 Behavioral Risk Factor Surveillance System (BRFSS) — a telephone survey that reached 433,323 adults — CDC estimated how many adults in each state and territory had it, and how many were significantly limited by it.

Visual summary. CDC
Definitions
| Meaning | |
|---|---|
| Current Long COVID | any symptoms lasting 3 months or more at the time of the interview that weren't there before COVID-19 |
| Significant activity limitation | symptoms that reduce the ability to carry out day-to-day activities "a lot" compared with before COVID-19 |
Estimates are weighted and standardized for age and sex, and cover 48 states, the District of Columbia, Guam, Puerto Rico and the U.S. Virgin Islands (Kentucky and Pennsylvania didn't collect enough data to be included).
Results
| Nationwide | Lowest | Highest | |
|---|---|---|---|
| Adults with current Long COVID | 6.4% | 2.9%, U.S. Virgin Islands | 9.7%, West Virginia |
| Of those, significantly limited | 19.8% | 12.8%, District of Columbia | 29.4%, Puerto Rico |
Seven jurisdictions had Long COVID in 8.0% or more of adults. Three of them — Idaho, Puerto Rico and West Virginia — were also in the top fifth for significant activity limitation.

Current Long COVID (A) and significant Long COVID–associated activity limitation (B) among adults, by jurisdiction, BRFSS 2023. CDC
What it means
- Prevention still matters, including vaccination, to lower the risk of Long COVID.
- People with Long COVID — especially those significantly limited by it — may need extra support to recover, such as health care and workplace accommodations.
- State-by-state estimates can guide local policies, planning and programs for adults living with it.
The survey's median response rate across jurisdictions was 44.7% (range 21.7% to 63.1%).
Sources
Based on Ford ND, Agedew A, Dalton AF, Pratt C, Gregory CO, Saydah S, "Notes from the Field: Long COVID and Significant Long COVID–Associated Activity Limitation Among Adults, by Jurisdiction — United States, 2023," MMWR volume 73, number 50, Centers for Disease Control and Prevention; a work of the United States government in the public domain. Estimates for each jurisdiction are in the report's supplementary table.
Licence: CC0 1.0 (public domain) · Adapted from www.cdc.gov
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