Who Is Most at Risk During Winter in the U.S.?

Paola L

Cold Weather and Health: Who Is Most at Risk During Winter in the U.S.?

Winter is often associated with holidays, family gatherings, and seasonal traditions. But for millions of people across the United States—especially in rural and underserved communities—cold weather represents a serious and sometimes life-threatening health risk.

According to the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH), winter conditions significantly increase health complications for specific populations. Understanding who is most at risk—and why—helps explain why timely humanitarian support during the winter months is not optional, but essential.

Older Adults: The Highest Risk Group

The CDC consistently identifies older adults as one of the populations most vulnerable to cold-related illness and injury. As people age, their bodies become less efficient at regulating temperature. Chronic conditions such as heart disease, diabetes, and respiratory illnesses further increase susceptibility to cold exposure.

Cold weather can:

  • Worsen cardiovascular strain
  • Increase the risk of hypothermia
  • Exacerbate arthritis and mobility issues
  • Raise the likelihood of falls due to icy conditions

In rural areas, where healthcare access is limited and emergency response times are longer, these risks are even more severe. A minor winter incident can quickly escalate into a medical emergency.

People With Chronic and Respiratory Conditions

Research from the NIH shows that winter months are associated with increased respiratory complications, particularly for individuals with asthma, chronic obstructive pulmonary disease (COPD), and other lung conditions. Cold air can irritate airways, trigger inflammation, and make breathing more difficult.

Additionally, winter often brings:

  • Higher rates of respiratory infections
  • Increased hospitalizations for chronic illness flare-ups
  • Greater reliance on medical devices that require electricity

When power outages occur during winter storms, people who depend on oxygen concentrators, heating equipment, or refrigerated medications are placed in immediate danger.

Social Isolation: A Silent Winter Threat

Cold weather intensifies social isolation, especially for older adults and individuals living alone. The CDC has identified social isolation as a significant public health risk, linked to higher rates of illness, depression, and mortality.

During winter:

  • Travel becomes more difficult
  • Community support networks weaken
  • Vulnerable individuals may delay seeking help

In rural communities, where neighbors may live miles apart, isolation can mean that emergencies go unnoticed until it is too late.

Why Winter Disparities Hit Rural Communities Hardest

Winter does not affect all communities equally. Rural areas face unique challenges:

  • Limited healthcare infrastructure
  • Longer distances to hospitals
  • Fewer emergency resources
  • Reduced access to food and heating assistance

These structural gaps mean that the same winter storm can have drastically different outcomes depending on where a person lives.

How PHOCSC Responds to Winter Health Risks

PHOCSC exists to address these exact vulnerabilities. During the winter months, the organization focuses on supporting at-risk populations in underserved and rural communities by providing:

  • Emergency assistance during extreme cold events
  • Access to essential resources for health and safety
  • Support for communities facing isolation and limited infrastructure

By acting early and focusing on prevention, PHOCSC helps reduce the health consequences that cold weather can bring to those least equipped to handle it alone.

Why Action Cannot Wait

Winter health risks are predictable, but their outcomes are not inevitable. Every season, preventable cold-related illnesses and complications occur because help arrives too late—or not at all.

Supporting organizations like PHOCSC means:

  • Strengthening early response efforts
  • Protecting vulnerable populations before emergencies escalate
  • Closing critical gaps in rural and underserved areas

Cold weather does not wait, and neither should support.

Learn More About PHOCSC’s Winter Response Efforts

If you want to understand how winter impacts vulnerable communities—and how timely humanitarian action can save lives—PHOCSC invites you to learn more about its mission, programs, and ongoing winter initiatives.

Awareness leads to prevention. Prevention leads to impact.

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