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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.

Graphic with icons of a person climbing stairs, a person at a laptop and a child pulling an adult's arm: 1 in 5 adults experiencing Long COVID report major limitations in daily activities.

Visual summary. CDC

Definitions

Meaning
Current Long COVIDany symptoms lasting 3 months or more at the time of the interview that weren't there before COVID-19
Significant activity limitationsymptoms 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

NationwideLowestHighest
Adults with current Long COVID6.4%2.9%, U.S. Virgin Islands9.7%, West Virginia
Of those, significantly limited19.8%12.8%, District of Columbia29.4%, 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.

Two maps of U.S. jurisdictions: the prevalence of current Long COVID among adults, and of significant Long COVID–associated activity limitation, 2023.

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.

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Licence: CC0 1.0 (public domain) · Adapted from www.cdc.gov

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