Respiratory illnesses tend to dominate the conversation during fall and winter, and in recent years, RSV (Respiratory Syncytial Virus) has become an especially important topic.
RSV is a common virus that affects the nose, throat, and lungs. For many people, it feels like a typical cold. But for infants, older adults, and people with certain medical conditions, RSV can lead to serious complications, hospitalization, and even long-term respiratory effects.
The good news? We now have more prevention tools than ever before, including maternal vaccination during pregnancy, monoclonal antibody protection for infants, and vaccines for older adults. Face masks have also become more normalized in protecting against spread of viruses.
Here’s what families in Olympia, Washington should know.
RSV in 2026: Symptoms, Treatment, and Who Should Consider Vaccines
What Is RSV?
RSV (Respiratory Syncytial Virus) is a highly contagious respiratory virus. Nearly all children will contract RSV by age two. While many cases are mild, RSV is:
- The leading cause of hospitalization in infants
- Responsible for 50,000–80,000 hospitalizations annually in children under 5
- Associated with 100,000–150,000 hospitalizations among older adults each year
- Linked to 6,000–10,000 deaths annually in adults 65+
In babies and older adults especially, RSV can lead to bronchiolitis, pneumonia, worsening asthma, heart failure complications, and dehydration.
How Does RSV Spread?
RSV spreads easily through respiratory droplets and surface contact. You can get RSV by:
- Breathing in droplets from a cough or sneeze
- Touching a contaminated surface (like a doorknob) and then touching your eyes, nose, or mouth
People with RSV are usually contagious for 3–8 days, but infants and those with weakened immune systems may spread the virus for up to four weeks. This is why RSV can move quickly through households, daycare centers, and multigenerational families.
RSV Symptoms: What to Watch For
Symptoms typically appear 4–6 days after exposure and may include:
- Runny nose
- Decreased appetite
- Coughing
- Sneezing
- Fever
- Wheezing
Some adults may have very mild symptoms, or none at all, and still spread the virus.
RSV Symptoms in Infants
Infants may not present with classic “cold” symptoms. Instead, parents might notice:
- Irritability
- Decreased activity
- Eating or drinking less
- Difficulty breathing
Children under 1 year old are especially vulnerable to lung inflammation, bronchiolitis, and pneumonia.
RSV Symptoms in Older Adults
Older adults may experience:
- Trouble breathing
- Worsening of chronic lung or heart conditions
- Dehydration
- Increased fatigue
If breathing becomes labored, wheezing worsens, or dehydration occurs, medical care should be sought promptly.
Who Is Most at Risk for Severe RSV?
Certain groups are more likely to experience complications:
- Infants younger than 6 months
- Young children with weakened immune systems or chronic conditions
- Adults with weakened immune systems
- Older adults, especially those with heart or lung disease
Protecting these populations is one of the primary goals of current RSV prevention strategies.
RSV Prevention in 2026: Vaccines and Antibody Protection
In recent years, new immunization options have become available. Recommendations differ based on age and risk.
1. RSV Vaccine During Pregnancy
The CDC recommends a one-time dose of Abrysvo (Pfizer’s RSV vaccine) between 32 and 36 weeks of pregnancy, typically during RSV season (September–January).
While pregnant individuals are not considered high risk for severe RSV themselves, vaccination during pregnancy passes protective antibodies to the baby – helping protect them during their first six months of life, when they are most vulnerable. This provides families with an additional option to reduce severe RSV illness in newborns.
2. RSV Protection for Infants and Young Children
Because nearly all children contract RSV by age two, protecting babies during their first RSV season is critical. Instead of a traditional vaccine, infants may receive long-acting monoclonal antibodies. These injections provide protective antibodies against RSV but do not treat active infection.
Available options include:
- Nirsevimab (Beyfortus) – Dosage based on body weight, protection lasts at least five months
- Clesrovimab (Enflonsia) – Same dose regardless of weight, designed for infants with certain risk factors
These options are recommended for specific situations and are not used for children who already have RSV.
Note: A previous third offering, Palivizumab (Synagis), has been discontinued as of December 31, 2025.
3. RSV Vaccines for Older Adults
RSV can be serious for seniors. Each year, RSV leads to an estimated 100,000–150,000 hospitalizations among older adults. The CDC currently recommends a single dose RSV vaccine for:
- All adults 75 and older
- Adults 50–74 who are at increased risk, including those with chronic medical conditions, weakened immune systems, or those living in nursing facilities
Three vaccines are available for eligible adults:
- Arexvy
- mResvia
- Abrysvo
These vaccines stimulate an immune response to actively protect against RSV exposure. At this time, RSV vaccination is not considered an annual shot – it is recommended as a one-time dose for those who qualify.
How to Reduce the Spread of RSV
In addition to immunization options, everyday prevention matters:
- Wash hands thoroughly with soap and water for at least 20 seconds
- Avoid touching your face with unwashed hands
- Cover coughs and sneezes
- Clean frequently touched surfaces
- Avoid close contact with sick individuals
- Stay home when ill
Simple habits can make a meaningful difference, especially in households with babies or older adults.
RSV Treatment: What Happens If You Get It?
There is no routine antiviral medication for most RSV cases. Treatment focuses on supportive care, including:
- Rest and fluids
- Fever management when appropriate
- Humidified air
- Saline nasal rinses or suctioning (especially helpful for infants)
- Monitoring breathing and hydration
- Respiratory supportive herbal teas and tinctures
- Nutrient therapies to help the immune system and to break up mucous when indicated
- Homeopathic remedies
In severe cases, hospitalization may be necessary for oxygen or respiratory support. If you or your child are experiencing worsening breathing, persistent wheezing, or signs of dehydration, seek medical care promptly.
RSV Care in Olympia, Washington
RSV can feel overwhelming, especially for new parents or families caring for older loved ones. If you’re unsure whether RSV vaccination or monoclonal antibody protection is appropriate for you or your child, or if you’re navigating respiratory symptoms this season, we’re here to help weigh your options.
At Whole Health Naturopathy in Olympia, Washington, we provide comprehensive family care and can help you review:
- Current CDC and Washington State recommendations
- Your personal risk factors
- Prevention strategies
- Supportive care options
Every family situation is different. Having a provider who understands your full health picture makes it easier to make informed decisions. If you have questions about RSV prevention, treatment, or immunization options, please don’t hesitate to contact our clinic to schedule an appointment – 360-943-9519.