Colds, flu and other respiratory viruses spread more in the fall and winter. You cannot boost your immune system on demand, but you can lower your chances of getting sick and make it easier to recover by planning ahead.

This guide is a cold-season plan: what to do before it starts, how to reduce spread at home and work, what evidence says about vitamin C and zinc, and what to do when you are sick.

Key takeaway

The most effective steps are vaccination, handwashing, staying home when sick, and keeping up sleep and activity. The CDC recommends that everyone 6 months and older get an annual flu vaccine, ideally by the end of October. Check current CDC guidance for other vaccines.

Before cold season: a checklist

TaskWhyWhen
Flu shotReduces your risk of flu and its complications.Ideally by the end of October.
Ask about other vaccinesCOVID-19 and RSV vaccines are recommended for certain groups. Recommendations change, so check with a provider.Early fall.
Stock your sick-day kitTissues, a thermometer, fluids, soup, any medicines you commonly use.Before you need them.
Check your medicine cabinetDiscard expired medicines.Once a year.
Plan your indoor movementCold weather lowers activity for many people.Start in fall. See Indoor Walking Workout for Cold Winter Days.

Everyday ways to lower your risk

Sleep, movement and food in winter

Short winter days can disrupt routines. Keep a steady sleep schedule (7 or more hours for adults), get outside in daylight when possible and aim for the CDC's target of 150 minutes of moderate activity a week. Eat regular meals with vegetables, beans, whole grains and protein. Soups and stews are an easy way to do that. If you want ideas, see the high-protein Mediterranean breakfast ideas.

What about vitamin C, zinc and other remedies?

RemedyWhat the research saysNotes
Vitamin CFor most people, it does not prevent colds and only slightly reduces their length and severity.Taking it after symptoms start does not appear to help.
Zinc lozenges or syrupSome studies suggest they may shorten colds if started early.High doses over time can cause low copper. The FDA warned against zinc nasal products because of loss of smell.
Herbal productsEvidence is limited or inconsistent.Ask a pharmacist about interactions.

When you are sick

  1. Stay home. For flu, the CDC recommends staying home until symptoms are improving overall and you have been fever-free for at least 24 hours without fever-reducing medicine.
  2. Rest and drink fluids. Warm drinks and soup can be comforting.
  3. Ask a pharmacist about over-the-counter options that suit your other medicines and conditions.
  4. Return to activity gradually.
When to get medical care

Seek care for trouble breathing, chest pain, confusion, severe or persistent vomiting, a fever that returns or does not improve, or symptoms that get worse after starting to improve. People who are pregnant, older, or have chronic conditions should contact a provider early. Call 911 for emergencies.

Related reading

Holidays, travel and gatherings

SituationWhat helps
Holiday gatheringsWash hands before eating, stay home if you feel sick and let hosts know if you are ill.
Air travelCarry hand sanitizer, drink water and try to rest before and after the trip.
Visiting someone at higher riskSkip the visit or reschedule if you have symptoms, and consider testing when appropriate.
Crowded indoor spacesImprove ventilation if you can, and step outside for breaks.

Protecting people at home when someone is sick

A winter soup formula

Soup is an easy way to eat vegetables, protein and fluids when you feel cold or run down. Use this formula and swap ingredients to suit your taste:

  1. Base: sauté onion, carrots and celery in olive oil for 5 to 7 minutes.
  2. Add flavor: garlic, herbs and spices for another minute.
  3. Add liquid: low-sodium broth or water, about 6 cups.
  4. Add protein: chicken, beans or lentils.
  5. Add grains or vegetables: rice, pasta, potatoes or greens near the end.
  6. Simmer until everything is tender, then season with salt, pepper and lemon.

Antibiotics and viruses

Most colds and flu are caused by viruses, and antibiotics do not treat them. If you have symptoms, ask a provider or pharmacist about the right approach, and do not ask for antibiotics unless you have a bacterial infection.

FAQ

What is the best way to avoid getting sick in winter?

Get vaccinated as recommended, wash your hands, avoid close contact with sick people and stay home when you are sick. Sleep and activity help too.

Does zinc help with colds?

Some studies suggest zinc lozenges or syrup may shorten colds if started early. Avoid zinc nasal products and high doses over time.

When is it flu season in the U.S.?

Respiratory viruses are more common in fall and winter. The CDC suggests getting a flu shot before viruses start spreading, ideally by the end of October.