North Dakota Health and Human Services (HHS) encourages North Dakotans to prepare for fall and winter respiratory viruses, including influenza (flu), RSV and COVID-19. Now is a good time to talk with a trusted healthcare provider about recommended respiratory immunizations and other ways to stay healthy.
“Immunization is one of the best tools we have to reduce the risk of severe illness from flu, COVID-19 and RSV,” said HHS Immunization Director Mary Woinarowicz. “Staying up to date can reduce the risk of serious illness and help people stay healthy and active, whether that means going to work or school, participating in sports or spending time with family and friends. We encourage North Dakotans to talk with their trusted healthcare provider about what is best for them and their families.”
Respiratory viruses can cause mild to severe illnesses. People who are at higher risk of serious illness, hospitalizations and complications include individuals with certain chronic medical conditions, pregnant women, children younger than 5, American Indians and adults 65 and older. Even when illness is not severe, respiratory viruses can mean missed work and school, canceled activities, extra medical visits and time away from family and friends.
Annual flu vaccination is recommended for everyone 6 months and older. Vaccination is one of the best ways to protect yourself and your loved ones from influenza and its potentially serious complications.
In 2025, North Dakota experienced four influenza-associated pediatric deaths, the first such deaths in the state since 2016. Flu vaccination can reduce a child’s risk of dying from influenza by about 80%. The flu vaccine is typically 40% to 60% effective at preventing influenza infections that require a medical visit.
RSV can cause serious illness, particularly among older adults and young infants.
A single dose of RSV vaccine is recommended for adults ages 75 and older and those ages 50-74 who are at increased risk of severe RSV illness. Adults who have already received an RSV vaccine generally do not need another dose at this time.
There are two options available to protect infants against RSV. Pregnant women can receive an RSV vaccine during weeks 32-36 of pregnancy to help protect their infants, or eligible infants can receive a RSV monoclonal antibody immunization. A second dose of the monoclonal antibody product may be recommended for children at higher risk of severe RSV disease in their second RSV season.
COVID-19 vaccination remains an important tool for reducing the risk of severe illness. COVID-19 vaccine is currently available for anyone ages 6 months and older and is most important for those at highest risk for severe illness.
In addition to getting vaccinated, practicing good hand hygiene, covering your nose and mouth when you cough or sneeze and cleaning high-touch surfaces can help reduce the spread of infection. People who feel ill or have cold or flu symptoms should remain at home to rest, recover and reduce the risk of spreading illness to others.
Recommended vaccines are covered by insurance. The North Dakota Vaccines for Children program provides the RSV, influenza and COVID-19 vaccines at no cost to children 18 years and younger who are uninsured, underinsured, Medicaid-eligible, or eligible as American Indian or Alaska Native. The North Dakota Vaccines for Adults program supplies the influenza and COVID-19 vaccines to uninsured and underinsured adults.
Immunizations are available at pharmacies, local public health units and clinics across North Dakota. Visit the HHS website to find a vaccine locator and data dashboard on flu, RSV, COVID-19 and more immunization information.