The invention relates to a system and a method for providing an exacerbation risk score for a respiratory disease of a patient. The system measures a heart signal and/or a blood circulation signal of a patient and detects cough events and sneeze events in the measurement data. The cough events and sneeze events are indicative for an onset of a contagion and/or an allergy, which can rapidly exacerbate a respiratory disease of the patient. Thus, the system is configured for providing unobtrusively an exacerbation risk score to the patient and/or to a physician.