03 Patton Adult RSV 508

CDC ACIP — Vaccine Advisory Committee

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Centers for Disease Control and Prevention 
National Center for Immunization and Respiratory Di seases 
Photographs and images included in this presentation a re licensed solely for CDC/NCIRD online and present ation 
use. No rights are implied or extended for use in pr inting or any use by other CDC CIOs or any external audiences. 
Epidemiology of Respiratory Syncytial Virus Hospitalizations in Adults — RSV-NET Advisory Committee on Immunization Practices, October 2 5, 2023 
Monica E. Patton, MD Deputy Lead, RSV-NET Surveillance and Prevention Branch Coronavirus and Other Respiratory Viruses Division 
2RESP-NET: RSV-NET, COVID-NET, FluSurv-NET 
Active, population-based surveillance of laboratory-confirmed RSV-associated hospitalizations 
–>300 acute-care hospitals, 58 counties in 12 states
–~8.6% of U.S. population 
Tests positive for RSV within 14 days prior to or during hospitalization 
–Clinician-driven testing 
Clinical data: random sample of RSV-NET patients stratified by age and site RSV-NET: A RESP-NET population-based hospitalizatio n 
surveillance platform 
California 
Oregon 
Utah 
Colorado 
New Mexico Min nes ota Michigan 
Maryland New York 
Connecticut
Tennessee 
Georgia 
RSV-NET surveillance areas with percentage of state population represented by participating RSV-NET counties 

3Age groups presented today for adults aged ≥18 year s 
Age Group Background/Rationale 
18–49 years Youngest adult group 50–59 years Age group for which we are reviewing dat a today 
60–64 years 60 is youngest age currently recommended for RSV va ccination, with shared clinical 
decision making, in the U.S. 
65–74 years 65 is a common definition of “older adults” and use d for other vaccine recommendations 
•Certain influenza vaccine formulations 
•Universal pneumococcal vaccination 
•Age of most Medicare eligibility 
≥75 years 75 is the age at which RSV vaccination was recommen ded by the United Kingdom’s Joint 
Committee on Vaccination and Immunisation (JCVI)* 
*
https://www.gov.uk/government/publications/rsv-immu nisation-programme-jcvi-advice-7-june-2023/respirat ory-syncytial-virus-rsv-immunisation-programme-for- infants-
and-older-adults-jcvi-full-statement-11-september-2 023 
Epidemiology of RSV–associated hospitalizations among adults aged 50–59 years 
•Demographics 
•Rates of RSV-associated hospitalizations 
•Underlying medical conditions 
•Severe outcomes (ICU admission, mechanical ventilat ion, death) 
•Comparison of RSV v. influenza v. COVID-19 
•Will not present rates of RSV-associated hospitaliz ations stratified by risk 
conditions 
5Characteristic Unweighted 
N=17,847 Weighted 
%
Age (years) 18–49 years 2,435 13.6 
50–59 years 2,492 14.0 
60–64 years 1,790 10.0 65–74 years 4,079 22.9 ≥75 years 7,051 39.5 
Race and ethnicity* White 10,755 62.2 Black 3,529 20.4 
Hispanic 1,434 8.3 Asian or Pacific Islander 1,020 5.9 American Indian or Alaska Native 90 0.5 Multirace 89 0.5 Unknown 367 2.1 Characteristics of non-pregnant adults ≥18 years ho spitalized 
with lab-confirmed RSV, RSV-NET, 2014–2015 to 2022– 2023 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 17,847 hospitalizations over 9 seasons 
14% of 
hospitalizations in adults aged 
50–59 years 
6Adjusted RSV-associated hospitalization rates* per 100,000 adults ≥18 years 
by 5-year age group and year, RSV-NET, 2015–2016 to  2019–2020 
*Unpublished data. Rates are adjusted for the frequ ency of RSV testing during each season and the sens itivity of RSV diagnostic tests. 0100 200 300 400 500 600 
18–49 50–54 55–59 60–64 65–69 70–74 75–79 80–84 ≥85 Annual RSV-associated hospitalizations per 
100,000 population 2015–16 2016–17 2017–18 2018–19 2019–20 
26–59 
23–42 
7050 100 150 200 250 
Oct-22 
Nov-22 
Dec-22 
Jan-23 
Feb-23 
Mar-23 
Apr-23 
May-23 
Jun-23 
Jul-23 
Aug-23 
Sep-23 Rate per 100,000 population Unadjusted monthly and cumulative RSV-associated ho spitalization 
rates* among adults ≥18 years — RSV-NET, 2022–2023 
010 20 30 40 50 60 70 
May-22 
Jun-22 
Jul-22 
Aug-22 
Sep-22 
Oct-22 
Nov-22 
Dec-22 
Jan-23 
Feb-23 
Mar-23 
Apr-23 
May-23 
Jun-23 
Jul-23 
Aug-23 
Sep-23 Rate per 100,000 population 18-49 years 50-59 years 60-64 years 65-74 years 75+ years Cumulative rates 
October 2022–September 2023 Monthly rates 
May 2022–September 2023 
*Rates have not been adjusted for RSV testing pract ices and underestimate actual rates of RSV-associat ed hospitalizations, as not all people hospitalized  with respiratory illness are tested for RSV; clini cian-driven 
testing practices may differ by disease severity, a ge, and/or racial and ethnic group of patients and may have changed over time.
8Underlying medical conditions* among non-pregnant a dults ≥18 years with RSV-
associated hospitalizations — RSV-NET, 2014–2015 to 2017–2018 and 2022–2023 
Major underlying condition categories Unweighted 
N=7,479 Weighted 
%
Cardovascular disease (overall) 5,141 57.4 Obesity 2,798 39.0 
Diabetes 2,484 34.1 
COPD 2,248 31.4 
Heart failure 1,984 28.0 
Chronic kidney disease 2,003 27.0 
Asthma 1,789 24.0 
Coronary artery disease (includes CABG, MI) 1,718 24. 0 
Neurologic condition 1,628 22.6 
Immune compromised 1,567 20.8 
Chronic metabolic disease, not including diabetes 1, 417 19.3 
Other chronic lung disease 995 17.1 
Chronic liver disease 538 7.2 
Autoimmune/inflammatory disease 310 4.5 Blood disorders 287 4.1 94.3% of adults ≥18 years with RSV-associated hospitalization had at least one underlying medical condition: •31.4%: 1–2 conditions 
•62.9%: ≥3 conditions 
*Clinical data, including underlying medical condit ions, were collected for all patients with laborato ry-confirmed RSV hospitalizations during the 2014–2 015 to 2017–2018 seasons, and for an 
age- and site-stratified random sample of patients w ith laboratory-confirmed RSV hospitalizations durin g the 2022–2023 season. Data are presented as unwei ghted case counts and weighted 
percentages that were weighted for the probability of selection. 
9Underlying medical conditions* among non-pregnant a dults ≥18 years with RSV-
associated hospitalizations — RSV-NET, 2014–2015 to 2017–2018 and 2022–2023 
Major underlying condition categories Unweighted 
N=7,479 Weighted 
%
Cardovascular disease (overall) 5,141 57.4 Obesity 2,798 39.0 
Diabetes 2,484 34.1 
COPD 2,248 31.4 
Heart failure 1,984 28.0 
Chronic kidney disease 2,003 27.0 
Asthma 1,789 24.0 
Coronary artery disease (includes CABG, MI) 1,718 24. 0 
Neurologic condition 1,628 22.6 
Immune compromised 1,567 20.8 
Chronic metabolic disease, not including diabetes 1, 417 19.3 
Other chronic lung disease 995 17.1 
Chronic liver disease 538 7.2 
Autoimmune/inflammatory disease 310 4.5 Blood disorders 287 4.1 94.3% of adults ≥18 years with RSV-associated hospitalization had at least one underlying medical condition: •31.4%: 1–2 conditions 
•62.9%: ≥3 conditions 
*Clinical data, including underlying medical condit ions, were collected for all patients with laborato ry-confirmed RSV hospitalizations during the 2014–2 015 to 2017–2018 seasons, and for an 
age- and site-stratified random sample of patients w ith laboratory-confirmed RSV hospitalizations durin g the 2022–2023 season. Data are presented as unwei ghted case counts and weighted 
percentages that were weighted for the probability of selection. 
100 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
*Clinical data were collected for all patients with l aboratory-confirmed RSV hospitalizations during the 2014 –2015 to 2017–2018 seasons, and for an age- and site-st ratified random sample of patients with laboratory-confi rmed RSV hospitalizations during the 
2022–2023 season. Displayed percentages were weighte d for the probability of selection. 18–49 years 
0 20 40 60 80 100 50–59 years 
0 20 40 60 80 100 60–64 years 
0 20 40 60 80 100 65–74 years 
0 20 40 60 80 100 120 ≥75 years 
Percent Percent Percent Percent Percent 
1114 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
4
0 20 40 60 80 100 50–59 years 
4
0 20 40 60 80 100 60–64 years 
4
0 20 40 60 80 100 65–74 years 
4
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. Percent Percent Percent Percent Percent 
1286 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
96 
0 20 40 60 80 100 50–59 years 
96 
0 20 40 60 80 100 60–64 years 
96 
0 20 40 60 80 100 65–74 years 
96 
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. Percent Percent Percent Percent Percent 
1344 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
38 
0 20 40 60 80 100 50–59 years 
33 
0 20 40 60 80 100 60–64 years 
27 
0 20 40 60 80 100 65–74 years 
26 
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. Percent Percent Percent Percent Percent 
1442 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
58 
0 20 40 60 80 100 50–59 years 
63 
0 20 40 60 80 100 60–64 years 
69 
0 20 40 60 80 100 65–74 years 
69 
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection.Percent Percent Percent Percent Percent 
1553 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
44 
0 20 40 60 80 100 50–59 years 
49 
0 20 40 60 80 100 60–64 years 
62 
0 20 40 60 80 100 65–74 years 
75 
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. Percent Percent Percent Percent Percent 
1653 
32 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
44 
43 
0 20 40 60 80 100 50–59 years 
44 
49 
0 20 40 60 80 100 60–64 years 
47 
62 
0 20 40 60 80 100 65–74 years 
75 
36 
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. Percent Percent Percent Percent Percent 
1753 
32 
25 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
1-2 conditions 
>=3 conditions 
Obesity 
Cardovascular disease… 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease… 
Chronic metabolic disease,… 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory… Frequency of underlying medical conditions among no n-pregnant adults with RSV-
associated hospitalizations by age group — RSV-NET, 2014–2015 to 2017–2018 and 
2022–2023 
18–49 years 
44 
43 
37 
0 20 40 60 80 100 50–59 years 
44 
49 
41 
0 20 40 60 80 100 60–64 years 
47 
62 
42 
0 20 40 60 80 100 65–74 years 
75 
33 
36 
33 
0 20 40 60 80 100 120 ≥75 years 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. Percent Percent Percent Percent Percent 
18Prevalence of certain medical conditions *among non-pregnant adults with RSV-
associated hospitalizations (RSV-NET, 2014–2015 to 2017–2018 and 2022–2023) and 
among the general population (National Center for H ealth Statistics †, 2022) by age 
group 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV 
hospitalizations during the 2022–2023 season. Displ ayed percentages were weighted for the probability of selection. 
†National Center for Health Statistics. United State s, 2022. National Health Interview Survey. Generated interactively: Oct 17, 2023 from https://wwwn.cdc.gov/NHISDataQueryTool/SHS_adult/ind ex.html 50–64 years ≥65 years 
General 
population RSV-NET RSV-
NET/ 
Pop General 
population RSV-NET RSV-
NET/ 
Pop Condition % (95% CI) % (95% CI) % (95% CI) % (95% CI) 
Coronary artery disease 5.0 (4.4, 5.6) 18.9 (16.9, 21.0) 3.8 15.3 (14.4, 16.2) 31.3 (29.1, 33.6) 2.0 
COPD 6.2 (5.5, 6.9) 35.4 (32.9, 37.9) 5.7 9.8 (9.1, 10.5) 33.2 (30.1, 35.5) 3.4 
Diabetes mellitus 13.8 (12.9, 14.7) 37.7 (35.1, 40.4) 2.7 20.1 (19.1, 21.1) 31.8 (29.6, 34.1) 1.6 
Asthma 9.1 (8.4, 9.9) 28.6 (26.3, 31.0) 3.1 8.0 (7.3, 8.6) 17.6 (15.8, 19.4) 2.2 
Obesity 37.6 (36.2, 38.9) 46.4 (43.7, 49.0) 1.2 30.4 (29.2, 31.6) 28.4 (26.1, 30.8) 0.9 
19Frequency of underlying medical conditions among ad ults aged 50–59 years with ICU 
admissions and RSV-associated hospitalizations — RSV -NET, 2014–2015 to 2017–2018 and 
2022–2023 
ICU admissions Hospitalizations 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. 0 20 40 60 80 100 No medical condition 
≥1 medical condition 
Cardovascular disease (overall) 
Obesity 
Diabetes 
COPD 
Heart failure 
Immune compromised 
Chonic kidney disease 
Asthma 
Coronary artery disease (includes CABG, MI) 
Other chronic lung disease 
Neurologic condition 
Chronic liver disease 
Chronic metabolic disease, not including diabetes 
Blood disorders 
Autoimmune/inflammatory disease 
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
Obesity 
Cardovascular disease (overall) 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease (includes CABG, MI) 
Chronic metabolic disease, not including diabetes 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory disease 
Percent Percent 
20Frequency of underlying medical conditions among ad ults aged 50–59 years with ICU 
admissions and RSV-associated hospitalizations — RSV -NET, 2014–2015 to 2017–2018 and 
2022–2023 
ICU admissions Hospitalizations 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. 4
95 
49 
44 
40 
35 
30 
29 
26 
25 
19 
17 
16 
14 
11 
4
2
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
Cardovascular disease (overall) 
Obesity 
Diabetes 
COPD 
Heart failure 
Immune compromised 
Chonic kidney disease 
Asthma 
Coronary artery disease (includes CABG, MI) 
Other chronic lung disease 
Neurologic condition 
Chronic liver disease 
Chronic metabolic disease, not including diabetes 
Blood disorders 
Autoimmune/inflammatory disease 4
96 
44 
43 
37 
31 
29 
26 
23 
21 
17 
17 
15 
12 
10 
5
4
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
Obesity 
Cardovascular disease (overall) 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease (includes CABG, MI) 
Chronic metabolic disease, not including diabetes 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory disease 
Percent Percent 
21Frequency of underlying medical conditions among ad ults aged 50–59 years with ICU 
admissions and RSV-associated hospitalizations — RSV -NET, 2014–2015 to 2017–2018 and 
2022–2023 
ICU admissions Hospitalizations 
*Clinical data were collected for all patients with  laboratory-confirmed RSV hospitalizations during t he 2014–2015 to 2017–2018 seasons, and for an age- a nd site-stratified random sample of patients with l aboratory-confirmed RSV hospitalizations during the 2022–2023 season. Displayed 
percentages were weighted for the probability of se lection. 4
95 
49 
44 
40 
35 
30 
29 
26 
25 
19 
17 
16 
14 
11 
4
2
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
Cardovascular disease (overall) 
Obesity 
Diabetes 
COPD 
Heart failure 
Immune compromised 
Chonic kidney disease 
Asthma 
Coronary artery disease (includes CABG, MI) 
Other chronic lung disease 
Neurologic condition 
Chronic liver disease 
Chronic metabolic disease, not including diabetes 
Blood disorders 
Autoimmune/inflammatory disease 4
96 
44 
43 
37 
31 
29 
26 
23 
21 
17 
17 
15 
12 
10 
5
4
0 20 40 60 80 100 No medical condition 
≥1 medical condition 
Obesity 
Cardovascular disease (overall) 
Diabetes 
COPD 
Asthma 
Immune compromised 
Heart failure 
Chonic kidney disease 
Neurologic condition 
Coronary artery disease (includes CABG, MI) 
Chronic metabolic disease, not including diabetes 
Other chronic lung disease 
Chronic liver disease 
Blood disorders 
Autoimmune/inflammatory disease 
Percent Percent 
22Percentages of non-pregnant adults ≥18 years with R SV-associated 
hospitalization who experienced severe outcomes by a ge group, RSV-NET, 
2022–2023 
16% 21% 
16% 21% 
15% 
4% 10% 
4% 6% 
4% 
2% 3% 
2% 4% 6% 
0% 5% 10% 15% 20% 25% 
18–49 50–59 60–64 65–74 ≥75 Proportion of Hospitalized Adults with Severe 
Outcome ICU Mechanical ventilation Died 
ICU = intensive care unit *Clinical data, including severe outcomes, were col lected for an age- and site-stratified random sample  of patients with laboratory-confirmed RSV hospital izations during the 2022–2023 season. 
Displayed percentages were weighted for the probabi lity of selection. 
2316 21 
16 21 
15 17 18 
18 
17 
11 16 21 
20 
19 
11 
0510 15 20 25 
18–49 50–59 60–64 65–74 ≥75 Proportion of Hospitalizations Admitted to ICU RSV Influenza COVID Percentages of non-pregnant adults ≥18 years with l aboratory-confirmed 
hospitalization admitted to intensive care unit (ICU) , RSV-NET, FluSurv-NET, 
COVID-NET, 2022–2023 
*Clinical data, including severe outcomes, were coll ected for an age- and site-stratified random sample of patients with laboratory-confirmed RSV, Influenz a, and COVID-19 hospitalizations during the 2022–20 23 season. Displayed percentages 
were weighted for the probability of selection. †Patients with severe disease may be more likely to b e tested for RSV, Influenza, or COVID-19 which may overestimate proportions of patients admitted to the  ICU. 
‡Data shown here does not take patient vaccination or  treatment status into account. 
§FluSurv-NET surveillance occurred during October 202 2–April 2023; RSV-NET and COVID-NET surveillance occ urred year-round. 
2423
246
13
335
1346
4
01234567
18–49 50–59 60–64 65–74 ≥75 Proportion of Hospitalizatizations with In-hospital  
Death RSV Influenza COVID Percentages of non-pregnant adults ≥18 years with l aboratory-confirmed 
hospitalization with in-hospital death *, RSV-NET, FluSurv-NET, COVID-NET, 
2022–2023 
*Clinical data, including severe outcomes, were coll ected for an age- and site-stratified random sample of patients with laboratory-confirmed RSV, Influenz a, and COVID-19 hospitalizations during the 2022–20 23 season. Displayed percentages 
were weighted for the probability of selection. †Patients with severe disease may be more likely to b e tested for RSV, Influenza, or COVID-19 which may overestimate proportions of patients admitted to the  ICU. 
‡Data shown here does not take patient vaccination or  treatment status into account. 
§FluSurv-NET surveillance occurred during October 202 2–April 2023; RSV-NET and COVID-NET surveillance occ urred year-round. 
25Distribution of RSV-associated hospitalizations and  severe outcomes 
among adults ≥18 years by age group, RSV-NET, 2022–2 023 
17% 15% 13% 8% 12% 14% 22% 
9% 9% 9% 7% 
4% 23% 28% 26% 
22% 39% 33% 31% 
58% 
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 
Hospitalizations ICU Mechanical ventilation Death Proportion 18–49 50–59 60–64 65–74 ≥75 
ICU = intensive care unit *Clinical data, including severe outcomes, were col lected for an age- and site-stratified random sample  of patients with laboratory-confirmed RSV hospital izations during the 2022–2023 
season. Displayed percentages were weighted for the  probability of selection. 
26Distribution of RSV-associated hospitalizations and  severe outcomes 
among adults ≥18 years by age group, RSV-NET, 2022–2 023 
17% 15% 13% 8% 12% 14% 22% 
9% 9% 9% 7% 
4% 23% 28% 26% 
22% 39% 33% 31% 
58% 
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 
Hospitalizations ICU Mechanical ventilation Death Proportion 18–49 50–59 60–64 65–74 ≥75 
ICU = intensive care unit *Clinical data, including severe outcomes, were col lected for an age- and site-stratified random sample  of patients with laboratory-confirmed RSV hospital izations during the 2022–2023 
season. Displayed percentages were weighted for the  probability of selection. 
27Distribution of RSV-associated hospitalizations and  severe outcomes 
among adults ≥18 years by age group, RSV-NET, 2022–2 023 
17% 15% 13% 8% 12% 14% 22% 
9% 9% 9% 7% 
4% 23% 28% 26% 
22% 39% 33% 31% 
58% 
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 
Hospitalizations ICU Mechanical ventilation Death Proportion 18–49 50–59 60–64 65–74 ≥75 
ICU = intensive care unit *Clinical data, including severe outcomes, were col lected for an age- and site-stratified random sample  of patients with laboratory-confirmed RSV hospital izations during the 2022–2023 
season. Displayed percentages were weighted for the  probability of selection. 
28Distribution of RSV-associated hospitalizations and  severe outcomes 
among adults ≥18 years by age group, RSV-NET, 2022–2 023 
17% 15% 13% 8% 12% 14% 22% 
9% 9% 9% 7% 
4% 23% 28% 26% 
22% 39% 33% 31% 
58% 
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 
Hospitalizations ICU Mechanical ventilation Death Proportion 18–49 50–59 60–64 65–74 ≥75 
ICU = intensive care unit *Clinical data, including severe outcomes, were col lected for an age- and site-stratified random sample  of patients with laboratory-confirmed RSV hospital izations during the 2022–2023 
season. Displayed percentages were weighted for the  probability of selection. 
29Median age of non-pregnant adults ≥18 years with RS V-associated 
hospitalizations by race and ethnicity* — RSV-NET, 2 014–2015 to 2022–
2023 
Unweighted Weighted 
%Median Age Interquartile 
range (IQR) 
Overall 17,847 - 69 (58–81) 
White 10,755 62.2 73 (63-82) 
Black 3,529 20.4 62 (50-71) 
Hispanic 1,434 8.3 62 (48-76) 
Asian or Pacific Islander 1,020 5.9 73 (59-83) 
American Indian or Alaska Native 90 0.5 64 (54-73) 
Multirace 89 0.5 75 (58-84) 
Unknown 367 2.1 68 (57-78) 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
30Median age of non-pregnant adults ≥18 years with RS V-associated 
hospitalizations by race and ethnicity* — RSV-NET, 2 014–2015 to 2022–
2023 
Unweighted Weighted 
%Median Age Interquartile 
range (IQR) 
Overall 17,847 - 69 (58–81) 
White 10,755 62.2 73 (63-82) 
Black 3,529 20.4 62 (50-71) 
Hispanic 1,434 8.3 62 (48-76) 
Asian or Pacific Islander 1,020 5.9 73 (59-83) 
American Indian or Alaska Native 90 0.5 64 (54-73) 
Multirace 89 0.5 75 (58-84) 
Unknown 367 2.1 68 (57-78) 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
31Distribution of RSV-associated hospitalizations amon g adults ≥18 years by 
race and ethnicity *and age group— RSV-NET, 2014–2015 to 2022–2023 
39% 53% 62% 69% 79% 29% 23% 21% 17% 7% 
18% 13% 8% 6% 5% 8% 6% 5% 5% 6% 
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 
18–49 50–59 60–64 65–74 ≥75 Proportion White Black Hispanic Asian or Pacific Islander 
*Black, White, and Asian/Pacific Islander people we re categorized as non-Hispanic; Hispanic people cou ld be of any race. American Indian/Alaska Native pe rsons are not shown 
due to small numbers. 
32Distribution of RSV-associated ICU admissions among ad ults ≥18 years by 
race and ethnicity * and age group — RSV-NET, 2014–2015 to 2022–2023 
41% 60% 58% 69% 75% 39% 22% 30% 19% 9% 11% 8% 8% 6% 8% 9% 9% 5% 5% 8% 
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 
18–49 50–59 60–64 65–74 ≥75 Proportion White Black Hispanic Asian or Pacific Islander 
*Black, White, and Asian/Pacific Islander people we re categorized as non-Hispanic; Hispanic people cou ld be of any race. American Indian/Alaska Native pe rsons are not shown 
due to small numbers. 
33Burden-adjusted hospitalization rate ratios among ad ults ≥18 years by race 
and ethnicity* — RSV-NET, 2016–2017 to 2019–2020 
Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) 
01234
18–49 50–59 60–64 65–74 ≥75 White 
Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
34
01234
18–49 50–59 60–64 65–74 ≥75 White Hispanic Burden-adjusted hospitalization rate ratios among ad ults ≥18 years by race 
and ethnicity* — RSV-NET, 2016–2017 to 2019–2020 
Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
35
01234
18–49 50–59 60–64 65–74 ≥75 Asian or Pacific Islander White Hispanic Burden-adjusted hospitalization rate ratios among ad ults ≥18 years by race 
and ethnicity* — RSV-NET, 2016–2017 to 2019–2020 
Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
36Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) 
01234
18–49 50–59 60–64 65–74 ≥75 Asian or Pacific Islander White Hispanic Black Burden-adjusted hospitalization rate ratios among ad ults ≥18 years by race 
and ethnicity* — RSV-NET, 2016–2017 to 2019–2020 
Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
37
01234
18–49 50–59 60–64 65–74 ≥75 Asian or Pacific Islander White Hispanic Black American Indian or Alaska Native 
Maximum rate ratio (2016–17 to 2019–20) 
Average rate ratio (2016–17 to 2019–20) Minimum rate ratio (2016–17 to 2019–20) Burden-adjusted hospitalization rate ratios among ad ults ≥18 years by race 
and ethnicity* — RSV-NET, 2016–2017 to 2019–2020 
*Black, White, American Indian/Alaska Native and As ian/Pacific Islander people were categorized as non -Hispanic; Hispanic people could be of any race. 
38Coronavirus and Other Respiratory 
Viruses Division 
Amadea Britton Fiona Havers Michael Melgar Kadam Patel Huong Pham Chris Taylor Michael Whitaker Influenza Division 
Alissa O’Halloran Catherine Bozio Dawud Ujamaa RESP-NET Site Investigators and Staff Acknowledgements 
For more information, contact CDC 1-800-CDC-INFO (232-4636) TTY:  1-888-232-6348    www.cdc.gov 
The findings and conclusions in this report are tho se of the authors and do not necessarily represent the official 
position of the Centers for Disease Control and Pre vention. 
Photographs and images included in this presentatio n are licensed solely for CDC/NCIRD online and pres entation 
use. No rights are implied or extended for use in p rinting or any use by other CDC CIOs or any externa l audiences.