The title has a double meaning, referring to both the risk to Senator Vinnick's health image as he develops a cold, and President Bartlet's worries over the possibility of sending U.S. troops into a conflict in an extremely cold region.
When Annabeth (Kristin Chenoweth) proposes the slogan "Santos: Right All Along" she incorrectly pronounces the Congressman's name "Sah-ntos". This is despite the fact that she very deliberately corrected Leo McGarry (John Spencer) when he made the exact same mistake in the episode The Ticket (2005).