Dr. Celine Gounder walks us through what to expect as the fall respiratory virus season unfolds\u2014the \u2018tripledemic\u2019 of Covid, flu, and RSV (respiratory syncytial virus). Promising new vaccines are becoming available amid confusion, disinformation, and burnout of the health workforce. Competent communications remain essential, though \u201cmost people do not believe the lies or the truth.\u201d The elderly and the immunocompromised stand to gain the most from these vaccine opportunities. In the post-Covid moment, \u2018hyperlocal\u2019 leaders and the business sector matter enormously in shaping the response.