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The acute morbidity and mortality of COVID-19 have been well described. Evidence is emerging that COVID-19 may also result in negative long-term medical and psychiatric outcomes. A broad response from the public health community in North Carolina that includes robust surveillance and catch-up care is needed to reduce the long-term sequelae of COVID-19.Infectious disease surveillance is one of the most valuable tools in monitoring the COVID-19 pandemic. Here we examine the components of an ideal surveillance system and assess the effecti