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Older adults
Adults with chronic lung or heart disease
Adults with weakened immune systems
A prospective, population-based, surveillance study was conducted to estimate the incidence of RSV hospitalization among adults aged ≥18 years overall and those with specific comorbidities. Active and passive surveillance identified 1099 adults hospitalized with RSV in 2 geographical areas (Rochester, NY, and New York City, NY) over 3 RSV seasons (2017-2020). Among the 1039 patients for which detailed demographic data were available, the median age was 69 years; 51% of patients reported a chronic pulmonary condition, and 49% a chronic cardiac condition. The estimated incidence rate ratios (IRRs) were observed among different age groups: 18-49 years, 50-64 years, and ≥65 years from the 2 surveillance areas, with the exception of CHF. The IRRs for CHF included age groups: 20-39 years, 40-59 years, 60-79 years, and ≥80 years. Estimated incidence rates for all comorbid conditions increased with increasing age.2
The IRR for patients aged 18-49 years in the Rochester surveillance area was not statistically significant.2
The estimated IRR for patients aged 18-49 years was only increased in the Rochester surveillance area. There was no increase in risk of RSV hospitalization associated with patients with CAD aged 18-49 years in the New York City surveillance area, as the IRR (95% CI) was 0.87 (0.12-6.33).2
The IRRs for asthma in patients in the Rochester surveillance area were not statistically significant.2
RSV vaccination starts with a firm recommendation
CAD=coronary artery disease; CHF=congestive heart failure; COPD=chronic obstructive pulmonary disease; RSV=respiratory syncytial virus.
Respiratory syncytial virus infection (RSV). RSV in adults. Centers for Disease Control and Prevention. Accessed July 9, 2025. https://www.cdc.gov/rsv/adults/
Branche AR, Saiman L, Walsh EE, et al. Incidence of respiratory syncytial virus infection among hospitalized adults, 2017–2020. Clin Infect Dis. 2022;74(6):1004-1011. doi:10.1093/cid/ciab595