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Don’t Ignore That Cough: RSV Is on the Rise in Adults

As the colder months approach, many adults brace for the usual suspects: colds, flu, and now COVID-19. However, another virus is silently spreading, often mistaken for a common cold but potentially far more dangerous—Respiratory Syncytial Virus (RSV). Traditionally seen as a childhood illness, RSV is increasingly affecting adults, particularly those with weakened immune systems, chronic conditions, and those over 60.

Understanding RSV in Adults

RSV is a contagious virus that infects the respiratory tract. While RSV is most commonly associated with infants and young children, it’s also a growing concern for adults, especially those with certain medical conditions or those living in nursing homes. The Centers for Disease Control and Prevention (CDC) reports that each year, RSV leads to an estimated 60,000-160,000 hospitalizations and 6,000-10,000 deaths among older adults in the United States.1
Symptoms of RSV in adults, including cough, sneezing, runny nose, and fever, can easily be mistaken for the flu or a common cold. However, in more severe cases, RSV can lead to lung infections or pneumonia, and it can worsen existing conditions like asthma, chronic obstructive pulmonary disease (COPD), and congestive heart failure.

Why RSV is a Growing Concern

Because RSV’s early symptoms can be virtually identical to those of the flu or the common cold, people may not feel the need to visit their doctor right away. This can be especially dangerous for some; adults aged 75 and older, those with chronic heart or lung diseases, and those with weakened immune systems are at the highest risk for severe RSV infection. Given the potential severity of the virus and the difficulty in identifying it early, the CDC now recommends that everyone aged 75 and older receive an RSV vaccine. Additionally, adults aged 60-74 with increased risk factors, such as severe obesity, severe diabetes, or other chronic medical conditions, are also advised to get vaccinated.

Prevention and Protection

Preventing RSV is crucial, especially for those at higher risk. Basic hygiene practices that were drilled into us early in the COVID-19 pandemic, such as frequent handwashing, avoiding close contact with sick individuals, and disinfecting surfaces, can reduce the risk of infection of RSV as well. 

Prevention can only protect you so far, however. So if you fall within the high-risk categories, it’s important to consult your healthcare provider about the RSV vaccine. The best time to get vaccinated is in late summer or early fall to ensure protection when RSV starts to spread.

Flu, RSV, COVID-19 or Just a Cold?

The common winter illnesses all share symptoms like cough, headache, sneezing, runny nose, and congestion. But what are the signs that you might have more than just a cold?

Aches

Cold

Flu

COVID-19

RSV

SOMETIMES

OFTEN

SOMETIMES

RARELY

Difficulty Breathing

Cold

Flu

COVID-19

RSV

RARELY

RARELY

OFTEN

SOMETIMES

Fatigue

Cold

Flu

COVID-19

RSV

SOMETIMES

OFTEN

OFTEN

RARELY

Fever

Cold

Flu

COVID-19

RSV

RARELY

OFTEN

SOMETIMES

SOMETIMES

Loss of Taste or Smell

Cold

Flu

COVID-19

RSV

RARELY

RARELY

SOMETIMES

RARELY

Sore Throat

Cold

Flu

COVID-19

RSV

OFTEN

SOMETIMES

OFTEN

RARELY

Wheezing

Cold

Flu

COVID-19

RSV

RARELY

RARELY

RARELY

OFTEN

SOURCE: National Foundation for Infectious Diseases

CONTRIBUTING EXPERTS

Sinikka Green, MD

Dr. Green is the Medical Director and a Principal Investigator at Care Access. She is board certified in emergency medicine.

SOURCES

  1.  Centers for Disease Control and Prevention (CDC). "RSV in Older Adults” https://www.cdc.gov/rsv/older-adults/index.html

DISCLAIMER

The information provided on Care Access is intended for informational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Our products and content are not intended to diagnose, treat, cure, or prevent any disease.