COVID Levels in North Carolina
In the week ending 10 October 2026, wastewater virus levels in North Carolina were High or Very High for COVID-19 at 12 of 31 sites, Flu A at 0 of 31 sites, RSV at 1 of 31 sites. COVID-19 was High or Very High at 39% of the state's sampling sites. Source: CDC wastewater surveillance.
Very High High Moderate Low Very Low
Sampling sites in North Carolina 31
| Counties served | People served | COVID-19 | Flu A | RSV |
|---|---|---|---|---|
| Wake | 550,000 | Moderate | Very Low | Very Low |
| Cabarrus | 226,400 | High | Very Low | Moderate |
| Mecklenburg | 182,501 | Moderate | Very Low | Very Low |
| Forsyth | 178,000 | Very High | Very Low | Very Low |
| Buncombe, Henderson | 173,000 | High | Very Low | Very Low |
| Cumberland | 151,589 | Very High | Very Low | Very Low |
| Durham | 142,000 | Very High | Very Low | Very Low |
| Guilford | 135,821 | Very High | Very Low | Very Low |
| Davidson, Forsyth, Guilford, Randolph | 116,390 | High | Very Low | Very Low |
| Durham, Orange | 108,105 | High | Very Low | Very Low |
| Forsyth | 92,000 | Moderate | Very Low | Very Low |
| Pitt | 89,616 | Low | Very Low | Very Low |
| Wake | 84,189 | Low | Very Low | Very Low |
| Mecklenburg | 82,158 | Very Low | Very Low | Very Low |
| Durham, Orange | 78,141 | Very Low | Very Low | Very Low |
| Wake | 75,886 | Moderate | Very Low | Very Low |
| Wake | 74,331 | Moderate | Very Low | Very Low |
| New Hanover | 67,743 | High | Low | Very Low |
| New Hanover | 58,361 | High | Very Low | Very Low |
| Wilson | 50,000 | Low | Very Low | Very Low |
| Onslow | 41,819 | Low | Very Low | Very Low |
| Wake | 30,655 | Moderate | Very Low | Very Low |
| Greene, Lenoir | 25,000 | Very High | Very Low | Very Low |
| Scotland | 15,527 | Moderate | Very Low | Very Low |
| Halifax, Northampton | 14,320 | High | Very Low | Very Low |
| Jackson | 13,296 | Moderate | Very Low | High |
| Duplin, Pender | 10,000 | Moderate | Very Low | Very Low |
| Mcdowell | 8,459 | Very Low | Very Low | Moderate |
| Wake | 7,776 | Low | Very Low | Very Low |
| Cabarrus | 6,898 | Moderate | Very Low | Moderate |
| Carteret | 3,500 | Moderate | Very Low | Very Low |
When levels are high where you live
- Stay current on vaccines for COVID-19 and flu, and RSV if you are 75+, 50–74 with risk factors, pregnant, or have an infant.
- Test if you have symptoms; antivirals for COVID-19 and flu work best in the first days and are meant for people at higher risk.
- A well-fitting mask in crowded indoor places and better ventilation cut the risk for you and for people around you.
- Stay home when sick. Outbreak news is in our epidemic record.
What this page shows, and what it misses
CDC's weekly wastewater viral activity level for each sampling site — a treatment plant or a point upstream — compared with that site's own baseline, in five categories from Very Low to Very High. State rows count sites; CDC's own state level, on its map, weighs sites differently and can differ from what these counts suggest. Places not on a sewer system, and sites that did not report this week, are not covered. Wastewater shows community spread, not the number of cases.
Data: Centers for Disease Control and Prevention, National Wastewater Surveillance System, "CDC Wastewater Viral Activity Level for SARS-CoV-2, Influenza A and RSV" (data.cdc.gov) — public domain U.S. Government work.