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Respiratory Syncytial Virus (RSV) Information for the Public

Respiratory syncytial (sin-SISH-uhl) virus, or RSV, is a common virus that affects the respiratory tract. Most people who catch it have mild, cold-like symptoms, such as a runny nose, cough or fever. However, RSV can sometimes cause serious illness.

Infants and older adults are at higher risk for severe RSV illness, including pneumonia, bronchiolitis and hospitalization. People with certain underlying health conditions may also be at increased risk for severe illness.

Immunization products are available to help protect infants, young children and older adults who are at increased risk for severe RSV illness.

RSV Information for Healthcare Providers and Local Health Departments

2026-27 Respiratory Syncytial Virus (RSV) Vaccine Recommendations

RSV: Everything You Need to Know

  • Transmission (Spread)

    RSV spreads easily from person to person, especially through close contact. You can get RSV when:

    • Someone with RSV coughs or sneezes and respiratory droplets get into your eyes, nose, or mouth.
    • You have close contact with someone who has RSV, such as kissing or hugging them.
    • You touch a surface contaminated with RSV and then touch your eyes, nose or mouth before washing your hands.
    • You have direct contact with respiratory secretions, such as mucus or saliva from someone who has RSV.

    People with RSV are usually contagious for 3-8 days and may be able to spread the virus before they develop symptoms.

     
  • Prevention

    There are several ways to help prevent RSV and protect people who are most at risk for severe illness. Immunization can reduce the risk of RSV-related hospitalization and other serious complications. See Michigan’s current RSV immunization recommendation document for more information.

    Know Who Is at Higher Risk

    Some people are more likely to develop severe RSV illness, including people with:

    • Chronic heart or lung disease.
    • Weakened immune systems.
    • Certain other underlying medical conditions.
    • Older age.
    • Certain living situations, including long-term care facilities.

    If you or someone you care for is at increased risk, talk with a healthcare provider about ways to prevent RSV.

    Take Everyday Steps to Reduce the Spread of RSV

    You can also help protect yourself and others by:

    • Staying home and away from others when you are sick.
    • Covering coughs and sneezes with a tissue or your elbow.
    • Washing your hands often with soap and water.
    • Cleaning surfaces that people touch often.
    • Avoiding close contact with people who are more likely to become seriously ill when you are sick.

    Learn more about everyday ways to prevent respiratory viruses from the Centers for Disease Control and Prevention.

     
  • Signs and Symptoms

    Symptoms usually appear within four to six days of infection and show up gradually rather than all at once.

    • Runny or stuffy nose.
    • Cough and sneezing.
    • Fever.
    • Decreased appetite.
    • Wheezing.
    • Tiredness or fussiness.

    In very young infants, the only signs may be irritability, reduced activity, poor feeding or pauses in breathing longer than 10 seconds.

  • Treatment

    Most people can manage RSV at home with rest, fluids and over-the-counter medicines to reduce fever or relieve pain. Symptoms usually improve within 1 to 2 weeks.

    Contact a healthcare provider if you’re concerned about symptoms in yourself, your child, or someone you’re caring for, especially if they’re in a higher risk group.

    Seek emergency medical care for signs of severe illness, such as:

    • Trouble breathing, fast breathing, or pauses in beathing.
    • Skin, lips or fingertips that look blue, gray or pale.
    • Severe dehydration, such as not urinating or having very few wet diapers.
    • Your infant is not drinking enough fluid or have no wet diapers for 8+ hours.
    • Symptoms that suddenly get worse or are not improving.

     

  • Risk of Disease

    Anyone can get RSV, but some people are more likely to develop severe illness and need medical care.

    Infants and Young Children

    Infants and young children, especially those younger than 6 months, are at increased risk for severe RSV illness because their airways are small and their immune systems are still developing.

    In the United States, RSV is a leading cause of hospitalization among infants and young children. Each year, RSV causes an estimated:

    • 2.1 million outpatient visits among children younger than 5 years old.
    • 58,000-80,000 hospitalizations among children younger than 5 years old.
    • 100-300 deaths among children younger than 5 years old.

    Older Adults

    Adults 65 years and older are also at increased risk for severe RSV illness. Risk is especially high for people with certain chronic health conditions, including heart or lung disease, or those with weakened immune systems.

    Each year in the United States, RSV cases an estimated:

    • 60,000-160,000 hospitalizations among adults 65 years and older.
    • 6,000-10,000 deaths among adults 65 years and older.

    Other People at Higher Risk

    People of any age may be at increased risk for severe RSV illness if they have certain underlying health conditions or weakened immune systems. Risk can also increase with age and other factors.

     
  • Frequently Asked Questions

    Can you get RSV more than once?

    Yes. People can get RSV multiple times throughout their lives. Previous infection does not provide complete or lifelong protection.

    Does my baby need RSV protection if I was vaccinated during pregnancy?

    Most babies do not need extra RSV protection if their mother received the RSV vaccine at least 14 days before delivery. However, it can depend on when the vaccine was given and other circumstances. Talk to your healthcare provider or see the CDC’s webpage on RSV Immunization Guidance for Infants and Young Children

    What is the difference between the RSV vaccine and the RSV antibody?

    An RSV vaccine teaches your immune system to make its own antibodies, while an RSV antibody (monoclonal antibody) provides pre-made antibodies for immediate protection.

    My child has RSV. What should I do?

    Most children with RSV have mild illness and can recover at home. Encourage fluids and monitor signs of worsening illness or difficulty breathing. Contact your child’s healthcare provider if you are concerned, particularly if your child is very young or has conditions that increase the risk of severe RSV. Seek emergency medical care for signs of severe illness.

     
  • For More Information

    For more information about seasonal respiratory viruses in Michigan, visit the MDHHS Seasonal Respiratory Viruses webpage or see the most recent Michigan Flu Focus Report.  These resources provide regularly updated information on influenza, COVID-19 and RSV, including symptoms, prevention, immunization, treatment, current respiratory virus activity and resources to help reduce the risk of severe illness.

    For the latest respiratory disease surveillance data, visit the Michigan Respiratory Disease Reports webpage. The dashboards provide regularly updated information on influenza, COVID-19 and RSV activity across Michigan, including emergency department visits, hospitalizations, outbreaks and immunization trends.


  • Access Your Immunization Record

    If you have been immunized in the State of Michigan, you may be able to download your immunization record from the Michigan Care Improvement Registry (MCIR).

    Visit the Michigan Immunization Portal to learn more or contact your healthcare provider.