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"title": "Why winter makes you more vulnerable to colds – a public health nurse explains the science behind the season",
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"contents": "You’ve probably heard “Don’t go outside in the winter with your hair wet or without a coat; you’ll catch a cold.” That’s not exactly true.\r\n\r\nAs with many things, the reality is more complicated. Here’s the distinction: Being cold isn’t why you get a cold. But it is true that cold weather makes it easier to catch respiratory viruses such as the cold and flu. Research also shows that lower temperatures are associated with <a href=\"https://doi.org/10.1016/j.scitotenv.2022.158636\">higher Covid-19 rates</a>.\r\n\r\nAs a <a href=\"https://hhs.purdue.edu/directory/elizabeth-libby-richards/\">professor of nursing </a> with a background in public health, I’m often asked about infectious disease spread, including the relationship between cold and catching a cold. So here’s a look at what actually happens.\r\n\r\nMany viruses, including <a href=\"https://doi.org/10.1073/pnas.1411030112\">rhinovirus</a> – the usual culprit for the common cold – influenza, and SARS-CoV-2, the virus that causes Covid-19, remain infectious longer and replicate faster in colder temperatures and <a href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0275654\">at lower humidity levels</a>. This, coupled with the fact that people spend more time indoors and in close contact with others during cold weather, are common reasons that germs are more likely to spread.\r\n\r\nThe <a href=\"https://www.cdc.gov/flu/about/season.html#\">flu</a> and <a href=\"https://www.cdc.gov/rsv/hcp/clinical-overview/index.html#\">respiratory syncytial virus</a>, or RSV, tend to have a <a href=\"https://www.cdc.gov/ncird/whats-new/2024-2025-respiratory-disease-season-outlook-october-update.html#\">defined fall and winter seasonality</a>. However, because of the emergence of new Covid-19 variants and immunity from previous infections and vaccinations decreasing over time, <a href=\"https://www.cdc.gov/ncird/whats-new/covid-19-can-surge-throughout-the-year.html\">Covid-19 is not the typical cold-weather respiratory virus</a>. As a case in point, Covid-19 infection rates <a href=\"https://publichealth.jhu.edu/2024/why-covid-cases-rise-every-summer\">have surged every summer since 2020</a>.\r\n\r\n<p><img loading=\"lazy\" class=\"size-full wp-image-2692325\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2025/04/11760611-scaled.jpg\" alt=\"A healthcare worker administers a dose of the year's flu vaccine during a free walk-in clinic hosted by L.A. Care and Blue Shield of California Promise Health at the Community Resource Center in Pacoima, California, USA 05 October 2023. EPA-EFE/CAROLINE BREHMAN\" width=\"2560\" height=\"1707\" /> A healthcare worker administers a dose of the year's flu vaccine during a free walk-in clinic hosted by L.A. Care and Blue Shield of California Promise Health at the Community Resource Centre in Pacoima, California, USA 05 October 2023. EPA-EFE/CAROLINE BREHMAN</p>\r\n<h4><strong>Virus transmission is easier when it’s cold</strong></h4>\r\nMore specifically, cold weather can <a href=\"https://www.nih.gov/news-events/nih-research-matters/flu-virus-fortified-colder-weather\">change the outer membrane</a> of the influenza virus, making it more solid and rubbery. Scientists believe that the <a href=\"https://doi.org/10.1128/mbio.02021-22\">rubbery coating makes person-to-person transmission</a> of the virus easier.\r\n\r\nIt’s not just cold winter air that causes a problem. Air that is dry in addition to cold has been linked to flu outbreaks. That’s because <a href=\"https://samaritanmedicalcare.com/why-the-flu-is-more-common-in-winter-the-science-behind-the-surge/\">dry winter air</a> further helps the influenza virus to remain infectious longer. Dry air, which is common in the winter, causes the water found in respiratory droplets to evaporate more quickly. This results in smaller particles, which are capable of <a href=\"https://doi.org/10.1073/pnas.2315940121\">lasting longer and travelling farther</a> after you cough or sneeze.\r\n\r\nHow your immune system responds during cold weather also matters a great deal. <a href=\"https://www.pbs.org/newshour/show/the-connection-between-cold-weather-and-catching-a-cold\">Inhaling cold air</a> may adversely affect the immune response in your respiratory tract, which makes it easier for viruses to take hold. That’s why wearing a scarf over your nose and mouth may help prevent a cold because it warms the air that you inhale.\r\n\r\nhttps://youtu.be/7JQ78oLFV9A\r\n\r\nAlso, most people get less sunlight in the winter. That is a problem because the <a href=\"https://theconversation.com/why-you-need-more-vitamin-d-in-the-winter-128898\">sun is a major source of vitamin D</a>, which is essential <a href=\"https://doi.org/10.1016/j.mayocp.2013.05.011\">for immune system health</a>. Physical activity, another factor, also tends to drop <a href=\"https://doi.org/10.1007/s10238-020-00650-3\">during the winter</a>. People are <a href=\"https://doi.org/10.1016/j.jshs.2016.07.007\">three times more likely</a> to delay exercise in snowy or icy conditions.\r\n\r\nInstead, people spend more time indoors. That usually means more close contact with others, which leads to disease spread. Respiratory viruses <a href=\"https://www.webmd.com/lung/what-are-airborne-diseases\">generally spread within a 6-foot radius</a> of an infected person.\r\n\r\nIn addition, <a href=\"https://www.nebraskamed.com/ear-nose-throat/how-to-prevent-winter-nose#\">cold temperatures</a> and <a href=\"https://doi.org/10.1073/pnas.1902840116\">low humidity</a> dry out your eyes and the mucous membranes in your nose and throat. Because viruses that cause colds, flu and Covid-19 are typically inhaled, the <a href=\"https://doi.org/10.3390/ijms24119456\">virus can attach more easily to these impaired, dried-out passages</a>.\r\n<h4><strong>What you can do</strong></h4>\r\nThe bottom line is that being wet and cold doesn’t make you sick. That being said, there are strategies to help prevent illness all year long:\r\n<ul>\r\n \t<li><a href=\"https://theconversation.com/yes-we-should-be-keeping-the-healthier-hand-washing-habits-we-developed-at-the-start-of-the-pandemic-169892\">Wash your hands often</a>.</li>\r\n \t<li>Avoid touching your face, something people do <a href=\"https://theconversation.com/how-to-stop-touching-your-face-to-minimize-spread-of-coronavirus-and-other-germs-133683\">between nine and 23 times an hour</a>.</li>\r\n \t<li>Stay hydrated. <a href=\"https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/water/art-20044256\">Eight glasses a day</a> of water is a good goal, but that could be more or less depending on lifestyle and the size of the person.</li>\r\n \t<li><a href=\"https://nutritionsource.hsph.harvard.edu/nutrition-and-immunity/\">Eat a well-balanced diet</a>. Dark green, leafy vegetables are <a href=\"https://theconversation.com/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159\">rich in immune system-supporting vitamins</a>, while eggs, fortified milk, salmon and tuna have vitamin D.</li>\r\n \t<li>Stay <a href=\"https://www.cdc.gov/physical-activity-basics/health-benefits/adults.html?utm_source=substack&utm_medium=email\">physically active</a>, even <a href=\"https://theconversation.com/taking-fitness-outside-9-tips-for-becoming-more-active-through-the-canadian-winter-197190\">during the winter</a>.</li>\r\n \t<li><a href=\"https://www.mayoclinic.org/diseases-conditions/insomnia/expert-answers/lack-of-sleep/faq-20057757#\">Get adequate sleep</a>.</li>\r\n \t<li>Clean hard, <a href=\"https://cms3.revize.com/revize/lakecounty/government/covid-19_information/docs/What%20exactly%20is%20a%20high.pdf\">high-touch surfaces</a> in your home often.</li>\r\n \t<li>If your nose or throat gets dry in the winter, consider using a humidifier.</li>\r\n \t<li>Get your <a href=\"https://www.cdc.gov/flu/vaccines/vaccinations.html\">annual flu</a> and <a href=\"https://www.cdc.gov/covid/vaccines/stay-up-to-date.html\">COVID-19 vaccine</a>.</li>\r\n</ul>\r\nFollowing these tips can ensure you have a healthy winter season. <strong>DM <iframe style=\"border: none !important;\" src=\"https://counter.theconversation.com/content/244803/count.gif?distributor=republish-lightbox-advanced\" width=\"1\" height=\"1\"></iframe></strong>\r\n\r\n<em>This is an updated version of an <a href=\"https://theconversation.com/will-going-out-in-the-cold-give-you-a-cold-151910\">article originally published</a> on 15 December 2020 and was first published on <a href=\"https://theconversation.com/why-winter-makes-you-more-vulnerable-to-colds-a-public-health-nurse-explains-the-science-behind-the-season-244803\">The Conversation</a>. Libby Richards is a Professor of Nursing at Purdue University.</em>",
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"name": "epa10902870 A healthcare worker administers a dose of this years flu vaccine during a free walk-in clinic hosted by L.A. Care and Blue Shield of California Promise Health at the Community Resource Center in Pacoima, California, USA 05 October 2023. The Centers for Disease Control and Prevention is recommending the annual flu shot for most people, and advising that September and October is the best time to receive it. EPA-EFE/CAROLINE BREHMAN",
"description": "You’ve probably heard “Don’t go outside in the winter with your hair wet or without a coat; you’ll catch a cold.” That’s not exactly true.\r\n\r\nAs with many things, the reality is more complicated. Here’s the distinction: Being cold isn’t why you get a cold. But it is true that cold weather makes it easier to catch respiratory viruses such as the cold and flu. Research also shows that lower temperatures are associated with <a href=\"https://doi.org/10.1016/j.scitotenv.2022.158636\">higher Covid-19 rates</a>.\r\n\r\nAs a <a href=\"https://hhs.purdue.edu/directory/elizabeth-libby-richards/\">professor of nursing </a> with a background in public health, I’m often asked about infectious disease spread, including the relationship between cold and catching a cold. So here’s a look at what actually happens.\r\n\r\nMany viruses, including <a href=\"https://doi.org/10.1073/pnas.1411030112\">rhinovirus</a> – the usual culprit for the common cold – influenza, and SARS-CoV-2, the virus that causes Covid-19, remain infectious longer and replicate faster in colder temperatures and <a href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0275654\">at lower humidity levels</a>. This, coupled with the fact that people spend more time indoors and in close contact with others during cold weather, are common reasons that germs are more likely to spread.\r\n\r\nThe <a href=\"https://www.cdc.gov/flu/about/season.html#\">flu</a> and <a href=\"https://www.cdc.gov/rsv/hcp/clinical-overview/index.html#\">respiratory syncytial virus</a>, or RSV, tend to have a <a href=\"https://www.cdc.gov/ncird/whats-new/2024-2025-respiratory-disease-season-outlook-october-update.html#\">defined fall and winter seasonality</a>. However, because of the emergence of new Covid-19 variants and immunity from previous infections and vaccinations decreasing over time, <a href=\"https://www.cdc.gov/ncird/whats-new/covid-19-can-surge-throughout-the-year.html\">Covid-19 is not the typical cold-weather respiratory virus</a>. As a case in point, Covid-19 infection rates <a href=\"https://publichealth.jhu.edu/2024/why-covid-cases-rise-every-summer\">have surged every summer since 2020</a>.\r\n\r\n[caption id=\"attachment_2692325\" align=\"alignnone\" width=\"2560\"]<img class=\"size-full wp-image-2692325\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2025/04/11760611-scaled.jpg\" alt=\"A healthcare worker administers a dose of the year's flu vaccine during a free walk-in clinic hosted by L.A. Care and Blue Shield of California Promise Health at the Community Resource Center in Pacoima, California, USA 05 October 2023. EPA-EFE/CAROLINE BREHMAN\" width=\"2560\" height=\"1707\" /> A healthcare worker administers a dose of the year's flu vaccine during a free walk-in clinic hosted by L.A. Care and Blue Shield of California Promise Health at the Community Resource Centre in Pacoima, California, USA 05 October 2023. EPA-EFE/CAROLINE BREHMAN[/caption]\r\n<h4><strong>Virus transmission is easier when it’s cold</strong></h4>\r\nMore specifically, cold weather can <a href=\"https://www.nih.gov/news-events/nih-research-matters/flu-virus-fortified-colder-weather\">change the outer membrane</a> of the influenza virus, making it more solid and rubbery. Scientists believe that the <a href=\"https://doi.org/10.1128/mbio.02021-22\">rubbery coating makes person-to-person transmission</a> of the virus easier.\r\n\r\nIt’s not just cold winter air that causes a problem. Air that is dry in addition to cold has been linked to flu outbreaks. That’s because <a href=\"https://samaritanmedicalcare.com/why-the-flu-is-more-common-in-winter-the-science-behind-the-surge/\">dry winter air</a> further helps the influenza virus to remain infectious longer. Dry air, which is common in the winter, causes the water found in respiratory droplets to evaporate more quickly. This results in smaller particles, which are capable of <a href=\"https://doi.org/10.1073/pnas.2315940121\">lasting longer and travelling farther</a> after you cough or sneeze.\r\n\r\nHow your immune system responds during cold weather also matters a great deal. <a href=\"https://www.pbs.org/newshour/show/the-connection-between-cold-weather-and-catching-a-cold\">Inhaling cold air</a> may adversely affect the immune response in your respiratory tract, which makes it easier for viruses to take hold. That’s why wearing a scarf over your nose and mouth may help prevent a cold because it warms the air that you inhale.\r\n\r\nhttps://youtu.be/7JQ78oLFV9A\r\n\r\nAlso, most people get less sunlight in the winter. That is a problem because the <a href=\"https://theconversation.com/why-you-need-more-vitamin-d-in-the-winter-128898\">sun is a major source of vitamin D</a>, which is essential <a href=\"https://doi.org/10.1016/j.mayocp.2013.05.011\">for immune system health</a>. Physical activity, another factor, also tends to drop <a href=\"https://doi.org/10.1007/s10238-020-00650-3\">during the winter</a>. People are <a href=\"https://doi.org/10.1016/j.jshs.2016.07.007\">three times more likely</a> to delay exercise in snowy or icy conditions.\r\n\r\nInstead, people spend more time indoors. That usually means more close contact with others, which leads to disease spread. Respiratory viruses <a href=\"https://www.webmd.com/lung/what-are-airborne-diseases\">generally spread within a 6-foot radius</a> of an infected person.\r\n\r\nIn addition, <a href=\"https://www.nebraskamed.com/ear-nose-throat/how-to-prevent-winter-nose#\">cold temperatures</a> and <a href=\"https://doi.org/10.1073/pnas.1902840116\">low humidity</a> dry out your eyes and the mucous membranes in your nose and throat. Because viruses that cause colds, flu and Covid-19 are typically inhaled, the <a href=\"https://doi.org/10.3390/ijms24119456\">virus can attach more easily to these impaired, dried-out passages</a>.\r\n<h4><strong>What you can do</strong></h4>\r\nThe bottom line is that being wet and cold doesn’t make you sick. That being said, there are strategies to help prevent illness all year long:\r\n<ul>\r\n \t<li><a href=\"https://theconversation.com/yes-we-should-be-keeping-the-healthier-hand-washing-habits-we-developed-at-the-start-of-the-pandemic-169892\">Wash your hands often</a>.</li>\r\n \t<li>Avoid touching your face, something people do <a href=\"https://theconversation.com/how-to-stop-touching-your-face-to-minimize-spread-of-coronavirus-and-other-germs-133683\">between nine and 23 times an hour</a>.</li>\r\n \t<li>Stay hydrated. <a href=\"https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/water/art-20044256\">Eight glasses a day</a> of water is a good goal, but that could be more or less depending on lifestyle and the size of the person.</li>\r\n \t<li><a href=\"https://nutritionsource.hsph.harvard.edu/nutrition-and-immunity/\">Eat a well-balanced diet</a>. Dark green, leafy vegetables are <a href=\"https://theconversation.com/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159\">rich in immune system-supporting vitamins</a>, while eggs, fortified milk, salmon and tuna have vitamin D.</li>\r\n \t<li>Stay <a href=\"https://www.cdc.gov/physical-activity-basics/health-benefits/adults.html?utm_source=substack&utm_medium=email\">physically active</a>, even <a href=\"https://theconversation.com/taking-fitness-outside-9-tips-for-becoming-more-active-through-the-canadian-winter-197190\">during the winter</a>.</li>\r\n \t<li><a href=\"https://www.mayoclinic.org/diseases-conditions/insomnia/expert-answers/lack-of-sleep/faq-20057757#\">Get adequate sleep</a>.</li>\r\n \t<li>Clean hard, <a href=\"https://cms3.revize.com/revize/lakecounty/government/covid-19_information/docs/What%20exactly%20is%20a%20high.pdf\">high-touch surfaces</a> in your home often.</li>\r\n \t<li>If your nose or throat gets dry in the winter, consider using a humidifier.</li>\r\n \t<li>Get your <a href=\"https://www.cdc.gov/flu/vaccines/vaccinations.html\">annual flu</a> and <a href=\"https://www.cdc.gov/covid/vaccines/stay-up-to-date.html\">COVID-19 vaccine</a>.</li>\r\n</ul>\r\nFollowing these tips can ensure you have a healthy winter season. <strong>DM <iframe style=\"border: none !important;\" src=\"https://counter.theconversation.com/content/244803/count.gif?distributor=republish-lightbox-advanced\" width=\"1\" height=\"1\"></iframe></strong>\r\n\r\n<em>This is an updated version of an <a href=\"https://theconversation.com/will-going-out-in-the-cold-give-you-a-cold-151910\">article originally published</a> on 15 December 2020 and was first published on <a href=\"https://theconversation.com/why-winter-makes-you-more-vulnerable-to-colds-a-public-health-nurse-explains-the-science-behind-the-season-244803\">The Conversation</a>. Libby Richards is a Professor of Nursing at Purdue University.</em>",
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"summary": "Cold and flu viruses often circulate more in the fall and winter, but there are some time-tested strategies for avoiding them, such as vaccines, handwashing and staying active.\r\n\r\n",
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